Guia de Implementação da SES GO - Medicamentos
1.0.0 - draft Brazil flag

Guia de Implementação da SES GO - Medicamentos - Downloaded Version 1.0.0 See the Directory of published versions

Perfil: MedicamentoEspecializado - Descrição detalhada

Draft as of 2025-11-25

Definições para medicamento-especializado perfil.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
2. Medication.extension:tipoProduto
Nome da fatiatipoProduto
4. Medication.extension:tipoProduto.value[x]
[x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Valor do padrãoE
6. Medication.batch
Controlo1..?
8. Medication.batch.lotNumber
Controlo1..?
10. Medication.batch.expirationDate
Controlo1..?

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
Definição

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CurtoDefinition of a Medication
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.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..01
Tipoidstring
É modificadorfalse
Resumotrue
4. Medication.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..01
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()))
6. Medication.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..01
VínculoOs códigos DEVERÃO ser retirados de CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Medication.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..01
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()))
10. Medication.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..0*
TipoResource
É modificadorfalse
Resumofalse
Nomes alternativosinline resources, anonymous resources, contained resources
12. Medication.extension:serialCode
Nome da fatiaserialCode
Definição

An Extension

CurtoExtension
Controlo0..1
Este elemento é afetado pelas seguintes invariantes: ele-1
TipoExtension(Código Serial de Medicamento) (Tipo de extensão: string)
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())
14. Medication.extension:tipoProduto
Nome da fatiatipoProduto
Definição

Tipo de produto, conforme componentes da Assistência Farmacêutica do SUS.

CurtoTipo Profissional
Controlo0..1
Este elemento é afetado pelas seguintes invariantes: ele-1
TipoExtension(Tipo Profissional) (Tipo de extensão: code)
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())
16. Medication.extension:tipoProduto.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..0*
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 Medication.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 18. Medication.extension:tipoProduto.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 fixohttps://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/tipo-produto
    20. Medication.extension:tipoProduto.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
    VínculoOs códigos DEVERÃO ser retirados de Para códigos, ver Tipo Produto
    (required to https://fhir.saude.go.gov.br/r4/medicamentos/ValueSet/tipo-produto)
    Tipocode, 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, string, 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
    Valor do padrãoE
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Medication.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. Medication.identifier
    Definição

    Business identifier for this medication.

    CurtoBusiness identifier for this medication
    Comentários

    The serial number could be included as an identifier.

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo10..*
    TipoIdentifier
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingEste elemento introduz um conjunto de fatias em Medication.identifier. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ system
    • 26. Medication.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..1
      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()))
      28. Medication.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.

      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.

      ExemploGeneral: http://www.acme.com/identifiers/patient
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Medication.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.

      Controlo10..1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      ExemploGeneral: 123456
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Medication.identifier:identificadorSDME
      Nome da fatiaidentificadorSDME
      Definição

      Business identifier for this medication.

      CurtoBusiness identifier for this medication
      Comentários

      The serial number could be included as an identifier.

      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()))
      34. Medication.identifier:identificadorSDME.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..1
      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()))
      36. Medication.identifier:identificadorSDME.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.

      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 do padrãohttps://fhir.saude.go.gov.br/sid/registro-entrada-sdme
      ExemploGeneral: http://www.acme.com/identifiers/patient
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Medication.identifier:identificadorSDME.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.

      Controlo10..1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      ExemploGeneral: 123456
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Medication.code
      Definição

      Nome e terminologia do medicamento fabricado.


      A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

      CurtoNome do MedicamentoCodes that identify this medication
      Comentários

      Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

      Controlo10..1
      VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Terminologia dos medicamentoshttp://hl7.org/fhir/ValueSet/medication-codes
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento)

      Define a terminologia de um dado medicamento.


      A coded concept that defines the type of a medication.

      TipoCodeableConcept
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Medication.code.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..01
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      44. Medication.code.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()))
      46. Medication.code.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..01
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      48. Medication.code.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()))
      50. Medication.code.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()))
      52. Medication.code.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()))
      54. Medication.code.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()))
      56. Medication.status
      Definição

      A code to indicate if the medication is in active use.

      Curtoactive | inactive | entered-in-error
      Comentários

      This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

      Controlo0..1
      VínculoOs códigos DEVERÃO ser retirados de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

      A coded concept defining if the medication is in active use.

      Tipocode
      É modificadortrue porque This element changes the interpretation of all descriptive attributes.
      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()))
      58. Medication.manufacturer
      Definição

      Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

      CurtoManufacturer of the item
      Controlo10..1
      TipoReference(Empresa Fabricante de Medicamentos, Organization)
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Medication.amount
      Definição

      Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

      CurtoAmount of drug in package
      Controlo0..01
      TipoRatio
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Medication.ingredient
      Definição

      Identifies a particular constituent of interest in the product.

      CurtoActive or inactive ingredient
      Comentários

      The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

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

      Informação sobre lote e validade da medicação.


      Information that only applies to packages (not products).

      CurtoDetalhes sobre a medicação.Details about packaged medications
      Controlo10..1
      TipoBackboneElement
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Medication.batch.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..01
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      70. Medication.batch.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())
      72. Medication.batch.lotNumber
      Definição

      The assigned lot number of a batch of the specified product.

      CurtoLote de medicamento.Identifier assigned to batch
      Controlo10..1
      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()))
      74. Medication.batch.expirationDate
      Definição

      When this specific batch of product will expire.

      CurtoData de validade do medicamento.When batch will expire
      Controlo10..1
      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()))

      Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

      0. Medication
      Definição

      This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

      CurtoDefinition of a Medication
      Controlo0..*
      É modificadorfalse
      Resumofalse
      Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Medication.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..0
      Tipoid
      É modificadorfalse
      Resumotrue
      4. Medication.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. Medication.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..0
      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. Medication.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..0
      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. Medication.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..0
      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. Medication.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..0
      TipoResource
      É modificadorfalse
      Resumofalse
      Nomes alternativosinline resources, anonymous resources, contained resources
      14. Medication.extension
      Definição

      An Extension

      CurtoExtension
      Controlo0..*
      TipoExtension
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingEste elemento introduz um conjunto de fatias em Medication.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • value @ url
      • 16. Medication.extension:serialCode
        Nome da fatiaserialCode
        Definição

        An Extension

        CurtoExtension
        Controlo0..1
        Este elemento é afetado pelas seguintes invariantes: ele-1
        TipoExtension(Código Serial de Medicamento) (Tipo de extensão: string)
        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())
        18. Medication.extension:tipoProduto
        Nome da fatiatipoProduto
        Definição

        Tipo de produto, conforme componentes da Assistência Farmacêutica do SUS.

        CurtoTipo Profissional
        Controlo0..1
        Este elemento é afetado pelas seguintes invariantes: ele-1
        TipoExtension(Tipo Profissional) (Tipo de extensão: code)
        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())
        20. Medication.extension:tipoProduto.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
        22. Medication.extension:tipoProduto.extension
        Definição

        An Extension

        CurtoExtension
        Controlo0..0
        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 Medication.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
        • value @ url
        • 24. Medication.extension:tipoProduto.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 fixohttps://fhir.saude.go.gov.br/r4/medicamentos/StructureDefinition/tipo-produto
          26. Medication.extension:tipoProduto.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
          VínculoOs códigos DEVERÃO ser retirados de Tipo Produto
          (required to https://fhir.saude.go.gov.br/r4/medicamentos/ValueSet/tipo-produto)
          Tipocode
          [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
          Valor do padrãoE
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Medication.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())
          30. Medication.identifier
          Definição

          Business identifier for this medication.

          CurtoBusiness identifier for this medication
          Comentários

          The serial number could be included as an identifier.

          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
          Controlo1..*
          TipoIdentifier
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingEste elemento introduz um conjunto de fatias em Medication.identifier. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ system
          • 32. Medication.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
            34. Medication.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 Medication.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
            • value @ url
            • 36. Medication.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..1
              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()))
              38. Medication.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..1
              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()))
              40. Medication.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.

              ExemploGeneral: http://www.acme.com/identifiers/patient
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Medication.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
              ExemploGeneral: 123456
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Medication.identifier.period
              Definição

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

              CurtoTime period when id is/was valid for use
              Controlo0..1
              TipoPeriod
              É modificadorfalse
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. Medication.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..1
              TipoReference(Organization)
              É modificadorfalse
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Medication.identifier:identificadorSDME
              Nome da fatiaidentificadorSDME
              Definição

              Business identifier for this medication.

              CurtoBusiness identifier for this medication
              Comentários

              The serial number could be included as an identifier.

              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()))
              50. Medication.identifier:identificadorSDME.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
              52. Medication.identifier:identificadorSDME.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 Medication.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
              • value @ url
              • 54. Medication.identifier:identificadorSDME.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..1
                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()))
                56. Medication.identifier:identificadorSDME.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..1
                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()))
                58. Medication.identifier:identificadorSDME.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.

                Valor do padrãohttps://fhir.saude.go.gov.br/sid/registro-entrada-sdme
                ExemploGeneral: http://www.acme.com/identifiers/patient
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Medication.identifier:identificadorSDME.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
                ExemploGeneral: 123456
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. Medication.identifier:identificadorSDME.period
                Definição

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

                CurtoTime period when id is/was valid for use
                Controlo0..1
                TipoPeriod
                É modificadorfalse
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. Medication.identifier:identificadorSDME.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..1
                TipoReference(Organization)
                É modificadorfalse
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Medication.code
                Definição

                Nome e terminologia do medicamento fabricado.

                CurtoNome do Medicamento
                Comentários

                Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

                Controlo1..1
                VínculoOs códigos DEVERÃO ser retirados de Terminologia dos medicamentos
                (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento)

                Define a terminologia de um dado medicamento.

                TipoCodeableConcept
                É modificadorfalse
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Medication.code.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..0
                Tipostring
                É modificadorfalse
                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                Resumofalse
                70. Medication.code.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 Medication.code.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                • value @ url
                • 72. Medication.code.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()))
                  74. Medication.code.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..0
                  Tipostring
                  É modificadorfalse
                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                  Resumofalse
                  76. Medication.code.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 Medication.code.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 78. Medication.code.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()))
                    80. Medication.code.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.

                    CurtoVersão da terminologia - se relevante
                    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()))
                    82. Medication.code.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()))
                    84. Medication.code.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()))
                    86. Medication.code.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()))
                    88. Medication.code.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.

                    CurtoNome da terminologia
                    Comentários

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

                    Controlo0..1
                    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()))
                    90. Medication.status
                    Definição

                    A code to indicate if the medication is in active use.

                    Curtoactive | inactive | entered-in-error
                    Comentários

                    This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

                    Controlo0..1
                    VínculoOs códigos DEVERÃO ser retirados de Medication Status Codes
                    (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

                    A coded concept defining if the medication is in active use.

                    Tipocode
                    É modificadortrue porque This element changes the interpretation of all descriptive attributes.
                    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. Medication.manufacturer
                    Definição

                    Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

                    CurtoManufacturer of the item
                    Controlo1..1
                    TipoReference(Empresa Fabricante de Medicamentos)
                    É modificadorfalse
                    Resumotrue
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    94. Medication.form
                    Definição

                    Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).

                    CurtoUnidade de medida do medicamento
                    Comentários

                    When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

                    Controlo0..1
                    VínculoOs códigos DEVERÃO ser retirados de Unidade de Medida de Medicamento
                    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento)

                    Unidade de medida do medicamento

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

                    Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

                    CurtoAmount of drug in package
                    Controlo0..0
                    TipoRatio
                    É modificadorfalse
                    Resumotrue
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. Medication.ingredient
                    Definição

                    Identifies a particular constituent of interest in the product.

                    CurtoActive or inactive ingredient
                    Comentários

                    The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

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

                    Informação sobre lote e validade da medicação.

                    CurtoDetalhes sobre a medicação.
                    Controlo1..1
                    TipoBackboneElement
                    É modificadorfalse
                    Resumofalse
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    108. Medication.batch.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..0
                    Tipostring
                    É modificadorfalse
                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                    Resumofalse
                    110. Medication.batch.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())
                    112. Medication.batch.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())
                    114. Medication.batch.lotNumber
                    Definição

                    The assigned lot number of a batch of the specified product.

                    CurtoLote de medicamento.
                    Controlo1..1
                    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()))
                    116. Medication.batch.expirationDate
                    Definição

                    When this specific batch of product will expire.

                    CurtoData de validade do medicamento.
                    Controlo1..1
                    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()))