Guia de Implementação da SES GO - CORE
1.1.0 - draft
Guia de Implementação da SES GO - CORE - Downloaded Version 1.1.0 See the Directory of published versions
| Official URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/dados-clinicos-recem-nascido | Version: 1.1.0 | |||
| Draft as of 2025-11-26 | Computable Name: DadosClinicosRecemNascido | |||
Perfil para representar os dados clínicos de um recém-nascido.
Usos:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Encounter | An interaction during which services are provided to the patient | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | Identifier | Identifier(s) by which this encounter is known |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv |
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Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456 |
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?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. Padrão necessário: finished |
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Σ | 1..1 | Coding | Classification of patient encounter Vínculo: ActEncounterCode (extensible): Classification of the encounter. |
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Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode |
![]() ![]() ![]() |
Σ | 1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) |
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Σ | 1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter |
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1..1 | BackboneElement | List of locations where the patient has been | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |
![]() ![]() |
1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |
Documentação para este formato | ||||
| Caminho | Conformidade | ValueSet / Código | URI |
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | |
| Encounter.status | required | Pattern Value: finishedhttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | |
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Encounter | An interaction during which services are provided to the patient | |
![]() ![]() |
1..1 | Identifier | Identifier(s) by which this encounter is known | |
![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv | |
![]() ![]() ![]() |
1..1 | string | Número da Declaração de Nascido Vivo | |
![]() ![]() ![]() |
||||
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1..1 | dateTime | Data do preenchimento | |
![]() ![]() |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Padrão necessário: finished | |
![]() ![]() |
||||
![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
![]() ![]() ![]() |
1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) | |
![]() ![]() |
1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter | |
![]() ![]() |
||||
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0..1 | CodeableConcept | Role of participant in encounter | |
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||||
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0..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/core/CodeSystem/categoria-profissional-assistente-parto | |
![]() ![]() ![]() ![]() ![]() |
0..1 | code | Symbol in syntax defined by the system Vínculo: Categoria profissional assistente parto (required) | |
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||||
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1..1 | dateTime | Starting time with inclusive boundary | |
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||||
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1..1 | Reference(Anomalia Congênita Observada no Nascimento) | The diagnosis or procedure relevant to the encounter | |
![]() ![]() |
1..1 | BackboneElement | List of locations where the patient has been | |
![]() ![]() ![]() |
1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |
![]() ![]() |
1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |
Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.participant.type.coding.code | required | CategoriaProfissionalAssistenteParto(a valid code from Categoria profissional assistente parto)https://fhir.saude.go.gov.br/r4/core/ValueSet/categoria-profissional-assistente-partoFrom este IG |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Encounter | An interaction during which services are provided to the patient | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..1 | Identifier | Identifier(s) by which this encounter is known | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv | ||||
![]() ![]() ![]() |
Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456 | ||||
![]() ![]() ![]() |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Data do preenchimento | ||||
![]() ![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. Padrão necessário: finished | ||||
![]() ![]() |
0..* | BackboneElement | List of past encounter statuses | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. | |||||
![]() ![]() ![]() |
1..1 | Period | The time that the episode was in the specified status | |||||
![]() ![]() |
Σ | 1..1 | Coding | Classification of patient encounter Vínculo: ActEncounterCode (extensible): Classification of the encounter. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() |
Σ | 1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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0..* | BackboneElement | List of past encounter classes | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Vínculo: ActEncounterCode (extensible): Classification of the encounter. | |||||
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1..1 | Period | The time that the episode was in the specified class | |||||
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Σ | 0..* | CodeableConcept | Specific type of encounter Vínculo: EncounterType (example): The type of encounter. | ||||
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Σ | 0..1 | CodeableConcept | Specific type of service Vínculo: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
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0..1 | CodeableConcept | Indicates the urgency of the encounter Vínculo: ActPriority (example): Indicates the urgency of the encounter. | |||||
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Σ | 1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter | ||||
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Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
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0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
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Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/core/CodeSystem/categoria-profissional-assistente-parto | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Symbol in syntax defined by the system Vínculo: Categoria profissional assistente parto (required) | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..1 | Period | Period of time during the encounter that the participant participated | |||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
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Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
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0..1 | Period | The start and end time of the encounter | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() |
0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
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Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Vínculo: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
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Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
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Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Anomalia Congênita Observada no Nascimento) | The diagnosis or procedure relevant to the encounter | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Vínculo: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
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0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
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0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||
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0..1 | BackboneElement | Details about the admission to a healthcare service | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | Identifier | Pre-admission identifier | |||||
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0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
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0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Vínculo: AdmitSource (preferred): From where the patient was admitted. | |||||
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0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Vínculo: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
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0..* | CodeableConcept | Diet preferences reported by the patient Vínculo: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
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0..* | CodeableConcept | Special courtesies (VIP, board member) Vínculo: SpecialCourtesy (preferred): Special courtesies. | |||||
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0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Vínculo: SpecialArrangements (preferred): Special arrangements. | |||||
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0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
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0..1 | CodeableConcept | Category or kind of location after discharge Vínculo: DischargeDisposition (example): Discharge Disposition. | |||||
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1..1 | BackboneElement | List of locations where the patient has been | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |||||
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0..1 | code | planned | active | reserved | completed Vínculo: EncounterLocationStatus (required): The status of the location. | |||||
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0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Vínculo: LocationType (example): Physical form of the location. | |||||
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0..1 | Period | Time period during which the patient was present at the location | |||||
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0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
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1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |||||
Documentação para este formato | ||||||||
| Caminho | Conformidade | ValueSet / Código | URI | |||
| Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | ||||
| Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom a norma FHIR | ||||
| Encounter.status | required | Pattern Value: finishedhttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | ||||
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-typeFrom a norma FHIR | ||||
| Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typeFrom a norma FHIR | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typeFrom a norma FHIR | ||||
| Encounter.participant.type.coding.code | required | CategoriaProfissionalAssistenteParto(a valid code from Categoria profissional assistente parto)https://fhir.saude.go.gov.br/r4/core/ValueSet/categoria-profissional-assistente-partoFrom este IG | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonFrom a norma FHIR | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-roleFrom a norma FHIR | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom a norma FHIR | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietFrom a norma FHIR | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyFrom a norma FHIR | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsFrom a norma FHIR | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom a norma FHIR | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1From a norma FHIR | ||||
| Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-typeFrom a norma FHIR |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Resumo
Obrigatório: 8 elementos(2 aninhado obrigatoriamente elementos)
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Encounter | An interaction during which services are provided to the patient | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 1..1 | Identifier | Identifier(s) by which this encounter is known |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv |
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Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456 |
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?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. Padrão necessário: finished |
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Σ | 1..1 | Coding | Classification of patient encounter Vínculo: ActEncounterCode (extensible): Classification of the encounter. |
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Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode |
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Σ | 1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) |
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Σ | 1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter |
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1..1 | BackboneElement | List of locations where the patient has been | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |
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1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |
Documentação para este formato | ||||
| Caminho | Conformidade | ValueSet / Código | URI |
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | |
| Encounter.status | required | Pattern Value: finishedhttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | |
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from Encounter
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Encounter | An interaction during which services are provided to the patient | |
![]() ![]() |
1..1 | Identifier | Identifier(s) by which this encounter is known | |
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1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv | |
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1..1 | string | Número da Declaração de Nascido Vivo | |
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1..1 | dateTime | Data do preenchimento | |
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1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Padrão necessário: finished | |
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1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
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1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) | |
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1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter | |
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0..1 | CodeableConcept | Role of participant in encounter | |
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0..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/core/CodeSystem/categoria-profissional-assistente-parto | |
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0..1 | code | Symbol in syntax defined by the system Vínculo: Categoria profissional assistente parto (required) | |
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1..1 | dateTime | Starting time with inclusive boundary | |
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1..1 | Reference(Anomalia Congênita Observada no Nascimento) | The diagnosis or procedure relevant to the encounter | |
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1..1 | BackboneElement | List of locations where the patient has been | |
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1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |
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1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |
Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.participant.type.coding.code | required | CategoriaProfissionalAssistenteParto(a valid code from Categoria profissional assistente parto)https://fhir.saude.go.gov.br/r4/core/ValueSet/categoria-profissional-assistente-partoFrom este IG |
Snapshot View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Encounter | An interaction during which services are provided to the patient | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 1..1 | Identifier | Identifier(s) by which this encounter is known | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv | ||||
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Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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ΣC | 1..1 | dateTime | Data do preenchimento | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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?!Σ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. Padrão necessário: finished | ||||
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0..* | BackboneElement | List of past encounter statuses | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Vínculo: EncounterStatus (required): Current state of the encounter. | |||||
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1..1 | Period | The time that the episode was in the specified status | |||||
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Σ | 1..1 | Coding | Classification of patient encounter Vínculo: ActEncounterCode (extensible): Classification of the encounter. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://terminology.hl7.org/CodeSystem/v3-ActCode | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Se Tipo de Local de Ocorrência for:
1. Hospital: “IMP”
2. Outros Estabelecimentos de Saúde: “AMB”
3. Domicílio: “HH”
4. Outros: “FLD”
5. Aldeia Indígena: “HH” Vínculo: ActEncounterCode (required) | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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0..* | BackboneElement | List of past encounter classes | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Vínculo: ActEncounterCode (extensible): Classification of the encounter. | |||||
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1..1 | Period | The time that the episode was in the specified class | |||||
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Σ | 0..* | CodeableConcept | Specific type of encounter Vínculo: EncounterType (example): The type of encounter. | ||||
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Σ | 0..1 | CodeableConcept | Specific type of service Vínculo: ServiceType (example): Broad categorization of the service that is to be provided. | ||||
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0..1 | CodeableConcept | Indicates the urgency of the encounter Vínculo: ActPriority (example): Indicates the urgency of the encounter. | |||||
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Σ | 1..1 | Reference(Identificação do Recém-Nascido) | The patient or group present at the encounter | ||||
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Σ | 0..* | Reference(EpisodeOfCare) | Episode(s) of care that this encounter should be recorded against | ||||
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0..* | Reference(ServiceRequest) | The ServiceRequest that initiated this encounter | |||||
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Σ | 0..* | BackboneElement | List of participants involved in the encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Role of participant in encounter Vínculo: ParticipantType (extensible): Role of participant in encounter. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 0..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/core/CodeSystem/categoria-profissional-assistente-parto | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system Vínculo: Categoria profissional assistente parto (required) | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..1 | Period | Period of time during the encounter that the participant participated | |||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson) | Persons involved in the encounter other than the patient | ||||
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Σ | 0..* | Reference(Appointment) | The appointment that scheduled this encounter | ||||
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0..1 | Period | The start and end time of the encounter | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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ΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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0..1 | Duration | Quantity of time the encounter lasted (less time absent) | |||||
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Σ | 0..* | CodeableConcept | Coded reason the encounter takes place Vínculo: EncounterReasonCodes (preferred): Reason why the encounter takes place. | ||||
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Σ | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the encounter takes place (reference) | ||||
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Σ | 0..* | BackboneElement | The list of diagnosis relevant to this encounter | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | Reference(Anomalia Congênita Observada no Nascimento) | The diagnosis or procedure relevant to the encounter | ||||
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0..1 | CodeableConcept | Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Vínculo: DiagnosisRole (preferred): The type of diagnosis this condition represents. | |||||
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0..1 | positiveInt | Ranking of the diagnosis (for each role type) | |||||
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0..* | Reference(Account) | The set of accounts that may be used for billing for this Encounter | |||||
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0..1 | BackboneElement | Details about the admission to a healthcare service | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | Identifier | Pre-admission identifier | |||||
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0..1 | Reference(Location | Organization) | The location/organization from which the patient came before admission | |||||
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0..1 | CodeableConcept | From where patient was admitted (physician referral, transfer) Vínculo: AdmitSource (preferred): From where the patient was admitted. | |||||
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0..1 | CodeableConcept | The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Vínculo: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter. | |||||
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0..* | CodeableConcept | Diet preferences reported by the patient Vínculo: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements. | |||||
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0..* | CodeableConcept | Special courtesies (VIP, board member) Vínculo: SpecialCourtesy (preferred): Special courtesies. | |||||
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0..* | CodeableConcept | Wheelchair, translator, stretcher, etc. Vínculo: SpecialArrangements (preferred): Special arrangements. | |||||
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0..1 | Reference(Location | Organization) | Location/organization to which the patient is discharged | |||||
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0..1 | CodeableConcept | Category or kind of location after discharge Vínculo: DischargeDisposition (example): Discharge Disposition. | |||||
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1..1 | BackboneElement | List of locations where the patient has been | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Reference(Local de Ocorrência do Parto (nascimento)) | Location the encounter takes place | |||||
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0..1 | code | planned | active | reserved | completed Vínculo: EncounterLocationStatus (required): The status of the location. | |||||
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0..1 | CodeableConcept | The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Vínculo: LocationType (example): Physical form of the location. | |||||
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0..1 | Period | Time period during which the patient was present at the location | |||||
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0..1 | Reference(Organization) | The organization (facility) responsible for this encounter | |||||
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1..1 | Reference(Atendimento do Parto) | Another Encounter this encounter is part of | |||||
Documentação para este formato | ||||||||
| Caminho | Conformidade | ValueSet / Código | URI | |||
| Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From a norma FHIR | ||||
| Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom a norma FHIR | ||||
| Encounter.status | required | Pattern Value: finishedhttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | ||||
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1From a norma FHIR | ||||
| Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.class.code | required | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
| Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-typeFrom a norma FHIR | ||||
| Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typeFrom a norma FHIR | ||||
| Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
| Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typeFrom a norma FHIR | ||||
| Encounter.participant.type.coding.code | required | CategoriaProfissionalAssistenteParto(a valid code from Categoria profissional assistente parto)https://fhir.saude.go.gov.br/r4/core/ValueSet/categoria-profissional-assistente-partoFrom este IG | ||||
| Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonFrom a norma FHIR | ||||
| Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-roleFrom a norma FHIR | ||||
| Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-sourceFrom a norma FHIR | ||||
| Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
| Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-dietFrom a norma FHIR | ||||
| Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesyFrom a norma FHIR | ||||
| Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangementsFrom a norma FHIR | ||||
| Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-dispositionFrom a norma FHIR | ||||
| Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1From a norma FHIR | ||||
| Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-typeFrom a norma FHIR |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Encounter | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Encounter | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Encounter
Resumo
Obrigatório: 8 elementos(2 aninhado obrigatoriamente elementos)
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Other representations of profile: CSV, Excel, Schematron