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

Guia de Implementação da SES GO - Medicamentos - Downloaded Version 1.2.3 See the Directory of published versions

Perfil: MedicamentoGestaoEstoque - Descrição detalhada

Draft as of 2026-03-17

Definições para medicamento-gestao-estoque perfil.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
InvariantesRegistroAnvisaObrigatorioCATMAT: O elemento Registro ANVISA deve ser obrigatoriamente preenchido quando a terminologia utilizada para representar o medicamento for CATMAT. (code.coding.exists(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmCATMAT').not() or identifier.exists(system = 'https://fhir.saude.go.gov.br/sid/registro-anvisa'))
2. Medication.extension
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
  • 4. Medication.extension:componenteAF
    Nome da fatiacomponenteAF
    Controlo0..1
    TipoExtension(Tipo Profissional) (Tipo de extensão: code)
    6. Medication.identifier
    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo1..?
    SlicingEste elemento introduz um conjunto de fatias em Medication.identifier. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ type.text
    • 8. Medication.identifier:sistemaOrigem
      Nome da fatiasistemaOrigem
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo1..*
      10. Medication.identifier:sistemaOrigem.system
      Controlo1..?
      12. Medication.identifier:sistemaOrigem.value
      CurtoCódigo do medicamento no sistema de origem
      Controlo1..?
      14. Medication.identifier:docAquisicao
      Nome da fatiadocAquisicao
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..*
      16. Medication.identifier:docAquisicao.type
      18. Medication.identifier:docAquisicao.type.text
      Controlo1..?
      Valor do padrãoDocumento de Aquisição do Produto
      20. Medication.identifier:docAquisicao.value
      CurtoDocumento de aquisição do medicamento
      Controlo1..?
      22. Medication.identifier:docAquisicao.assigner
      Controlo1..?
      24. Medication.identifier:registroAnvisa
      Nome da fatiaregistroAnvisa
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..1
      26. Medication.identifier:registroAnvisa.system
      Controlo1..?
      Valor do padrãohttps://fhir.saude.go.gov.br/sid/registro-anvisa
      28. Medication.identifier:registroAnvisa.value
      CurtoRegistro ANVISA
      Controlo1..?
      30. Medication.identifier:ium
      Nome da fatiaium
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..1
      32. Medication.identifier:ium.system
      Controlo1..?
      Valor do padrãohttps://fhir.saude.go.gov.br/sid/ium
      34. Medication.identifier:ium.value
      CurtoIdentificador Único de Medicamentos (IUM)
      Controlo1..?
      36. Medication.code
      Definição

      Nome e terminologia do medicamento fabricado.

      CurtoNome do Medicamento
      Controlo1..?
      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.

      38. Medication.code.id
      Controlo0..0
      40. Medication.code.coding
      Controlo1..1
      42. Medication.code.coding.id
      Controlo0..0
      44. Medication.code.coding.system
      Controlo1..?
      46. Medication.code.coding.version
      CurtoVersão da terminologia - se relevante
      NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
      48. Medication.code.coding.code
      Controlo1..?
      50. Medication.code.coding.display
      Controlo0..0
      52. Medication.code.coding.userSelected
      Controlo0..0
      54. Medication.code.text
      CurtoNome da terminologia
      56. Medication.manufacturer
      TipoReference(Fabricante ou Distribuidor de Medicamento)
      58. Medication.form
      VínculoOs códigos DEVERÃO ser retirados de Unidade de Medida de Medicamento
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento)
      60. Medication.form.coding
      62. Medication.form.coding.system
      Controlo1..?
      64. Medication.form.coding.code
      CurtoForma farmacêutica
      Controlo1..?
      66. Medication.amount
      Controlo0..0
      68. Medication.ingredient
      Controlo0..0
      70. Medication.batch
      72. Medication.batch.id
      Controlo0..0
      74. Medication.batch.lotNumber
      CurtoLote
      Controlo1..?
      76. Medication.batch.expirationDate
      CurtoValidade
      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())
      RegistroAnvisaObrigatorioCATMAT: O elemento Registro ANVISA deve ser obrigatoriamente preenchido quando a terminologia utilizada para representar o medicamento for CATMAT. (code.coding.exists(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmCATMAT').not() or identifier.exists(system = 'https://fhir.saude.go.gov.br/sid/registro-anvisa'))
      2. 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..1
      Tipouri
      É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      4. Medication.extension
      Definição

      An Extension


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

      CurtoExtensionAdditional content defined by implementations
      Comentários

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

      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.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • value @ url
      • 6. Medication.extension:componenteAF
        Nome da fatiacomponenteAF
        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())
        8. 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())
        10. 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 @ type.text
        • 12. Medication.identifier:sistemaOrigem
          Nome da fatiasistemaOrigem
          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()))
          14. Medication.identifier:sistemaOrigem.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()))
          16. Medication.identifier:sistemaOrigem.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()))
          18. Medication.identifier:sistemaOrigem.value
          Definição

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

          CurtoCódigo do medicamento no sistema de origemThe 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()))
          20. Medication.identifier:docAquisicao
          Nome da fatiadocAquisicao
          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)
          Controlo0..*
          TipoIdentifier
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Medication.identifier:docAquisicao.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()))
          24. Medication.identifier:docAquisicao.value
          Definição

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

          CurtoDocumento de aquisição do medicamentoThe 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()))
          26. Medication.identifier:docAquisicao.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.

          Controlo10..1
          TipoReference(Organization)
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Medication.identifier:registroAnvisa
          Nome da fatiaregistroAnvisa
          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)
          Controlo0..1*
          TipoIdentifier
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. Medication.identifier:registroAnvisa.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()))
          32. Medication.identifier:registroAnvisa.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-anvisa
          ExemploGeneral: http://www.acme.com/identifiers/patient
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. Medication.identifier:registroAnvisa.value
          Definição

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

          CurtoRegistro ANVISAThe 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()))
          36. Medication.identifier:ium
          Nome da fatiaium
          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)
          Controlo0..1*
          TipoIdentifier
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. Medication.identifier:ium.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()))
          40. Medication.identifier:ium.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/ium
          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:ium.value
          Definição

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

          CurtoIdentificador Único de Medicamentos (IUM)The value that is unique
          Comentários

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

          Controlo10..1
          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.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|4.0.1
          (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()))
          46. 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
          48. 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()))
          50. 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
          52. 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()))
          54. 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 relevanteVersion of the system - if relevant
          Comentários

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

          NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
          Controlo0..1
          Tipostring
          É modificadorfalse
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. 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()))
          58. 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()))
          60. 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()))
          62. 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 terminologiaPlain text representation of the concept
          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()))
          64. 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()))
          66. 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
          Controlo0..1
          TipoReference(Fabricante ou Distribuidor de Medicamento, Organization)
          É modificadorfalse
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Medication.form
          Definição

          Describes the form of the item. Powder; tablets; capsule.

          Curtopowder | tablets | capsule +
          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 Para exemplos de códigos, ver Unidade de Medida de Medicamentohttp://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento)
          TipoCodeableConcept
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. 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()))
          72. 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()))

          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())
          RegistroAnvisaObrigatorioCATMAT: O elemento Registro ANVISA deve ser obrigatoriamente preenchido quando a terminologia utilizada para representar o medicamento for CATMAT. (code.coding.exists(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRObmCATMAT').not() or identifier.exists(system = 'https://fhir.saude.go.gov.br/sid/registro-anvisa'))
          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..1
          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..1
          Tipouri
          É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. 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..1
          VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          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..1
          TipoNarrative
          É modificadorfalse
          Resumofalse
          Nomes alternativosnarrative, html, xhtml, display
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. 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..*
          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:componenteAF
            Nome da fatiacomponenteAF
            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())
            18. 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())
            20. 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 @ type.text
            • 22. Medication.identifier:sistemaOrigem
              Nome da fatiasistemaOrigem
              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()))
              24. Medication.identifier:sistemaOrigem.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
              26. Medication.identifier:sistemaOrigem.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
              • 28. Medication.identifier:sistemaOrigem.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()))
                30. Medication.identifier:sistemaOrigem.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|4.0.1)

                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()))
                32. Medication.identifier:sistemaOrigem.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()))
                34. Medication.identifier:sistemaOrigem.value
                Definição

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

                CurtoCódigo do medicamento no sistema de origem
                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()))
                36. Medication.identifier:sistemaOrigem.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()))
                38. Medication.identifier:sistemaOrigem.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()))
                40. Medication.identifier:docAquisicao
                Nome da fatiadocAquisicao
                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)
                Controlo0..*
                TipoIdentifier
                É modificadorfalse
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                42. Medication.identifier:docAquisicao.id
                Definição

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

                CurtoUnique id for inter-element referencing
                Controlo0..1
                Tipostring
                É modificadorfalse
                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                Resumofalse
                44. Medication.identifier:docAquisicao.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
                • 46. Medication.identifier:docAquisicao.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()))
                  48. Medication.identifier:docAquisicao.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|4.0.1)

                  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()))
                  50. Medication.identifier:docAquisicao.type.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:docAquisicao.type.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.type.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 54. Medication.identifier:docAquisicao.type.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.

                    Controlo0..*
                    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()))
                    56. Medication.identifier:docAquisicao.type.text
                    Definição

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

                    CurtoPlain text representation of the concept
                    Comentários

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

                    Controlo1..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.

                    Valor do padrãoDocumento de Aquisição do Produto
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. Medication.identifier:docAquisicao.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.

                    Controlo0..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()))
                    60. Medication.identifier:docAquisicao.value
                    Definição

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

                    CurtoDocumento de aquisição do medicamento
                    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:docAquisicao.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:docAquisicao.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.

                    Controlo1..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.identifier:registroAnvisa
                    Nome da fatiaregistroAnvisa
                    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)
                    Controlo0..1
                    TipoIdentifier
                    É modificadorfalse
                    Resumotrue
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. Medication.identifier:registroAnvisa.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
                    70. Medication.identifier:registroAnvisa.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
                    • 72. Medication.identifier:registroAnvisa.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()))
                      74. Medication.identifier:registroAnvisa.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|4.0.1)

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

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

                      CurtoRegistro ANVISA
                      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()))
                      80. Medication.identifier:registroAnvisa.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()))
                      82. Medication.identifier:registroAnvisa.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()))
                      84. Medication.identifier:ium
                      Nome da fatiaium
                      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)
                      Controlo0..1
                      TipoIdentifier
                      É modificadorfalse
                      Resumotrue
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. Medication.identifier:ium.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
                      88. Medication.identifier:ium.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
                      • 90. Medication.identifier:ium.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()))
                        92. Medication.identifier:ium.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|4.0.1)

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

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

                        CurtoIdentificador Único de Medicamentos (IUM)
                        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()))
                        98. Medication.identifier:ium.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()))
                        100. Medication.identifier:ium.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()))
                        102. 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()))
                        104. 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
                        106. 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
                        • 108. 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()))
                          110. 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
                          112. 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
                          • 114. 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()))
                            116. 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()))
                            118. 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()))
                            120. 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()))
                            122. 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()))
                            124. 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()))
                            126. 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()))
                            128. 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
                            Controlo0..1
                            TipoReference(Fabricante ou Distribuidor de Medicamento)
                            É modificadorfalse
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. Medication.form
                            Definição

                            Describes the form of the item. Powder; tablets; capsule.

                            Curtopowder | tablets | capsule +
                            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)
                            TipoCodeableConcept
                            É modificadorfalse
                            Resumofalse
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. Medication.form.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
                            134. Medication.form.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.form.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                            • value @ url
                            • 136. Medication.form.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.

                              Controlo0..*
                              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()))
                              138. Medication.form.coding.id
                              Definição

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

                              CurtoUnique id for inter-element referencing
                              Controlo0..1
                              Tipostring
                              É modificadorfalse
                              Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                              Resumofalse
                              140. Medication.form.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.form.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                              • value @ url
                              • 142. Medication.form.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()))
                                144. Medication.form.coding.version
                                Definição

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

                                CurtoVersion of the system - if relevant
                                Comentários

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

                                NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                                Controlo0..1
                                Tipostring
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                146. Medication.form.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).

                                CurtoForma farmacêutica
                                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()))
                                148. Medication.form.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..1
                                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()))
                                150. Medication.form.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..1
                                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()))
                                152. Medication.form.text
                                Definição

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

                                CurtoPlain text representation of the concept
                                Comentários

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

                                Controlo0..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()))
                                154. 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()))
                                156. 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()))
                                164. Medication.batch
                                Definição

                                Information that only applies to packages (not products).

                                CurtoDetails about packaged medications
                                Controlo0..1
                                TipoBackboneElement
                                É modificadorfalse
                                Resumofalse
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                166. 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
                                168. 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())
                                170. 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())
                                172. Medication.batch.lotNumber
                                Definição

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

                                CurtoLote
                                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()))
                                174. Medication.batch.expirationDate
                                Definição

                                When this specific batch of product will expire.

                                CurtoValidade
                                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()))