Guia de Implementação da SES GO - Saúde da Mulher
1.0.0 - draft
BR
Guia de Implementação da SES GO - Saúde da Mulher
1.0.0 - draft
BR
Guia de Implementação da SES GO - Saúde da Mulher - Downloaded Version 1.0.0 See the Directory of published versions
| URL oficial: https://fhir.saude.go.gov.br/r4/saude-mulher/StructureDefinition/exame-avaliado | Versão: 1.0.0 | |||
| Draft as of 2025-12-11 |
Domínio: 
|
Nome para computador: ExameAvaliado | ||
Usos:
You can also check for usages in the FHIR IG Statistics
Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.
Essa estrutura é derivada de DiagnosticReport
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado |
  code |
1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) | |
 encounter |
1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado | |
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |
| conclusion |
0..1 | string | Interpretação do resultado | |
 conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |
| Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | |
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report. |
 code |
Σ | 1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) |
| encounter |
Σ | 1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado |
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |
| conclusion |
0..1 | string | Interpretação do resultado | |
| conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |
| Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From a norma FHIR | |
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | |
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Vínculo: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) | ||||
| subject |
Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado | ||||
  effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
 effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Interpretação do resultado | |||||
| conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentação para este formato | ||||||||
| Caminho | Conformidade | Conjunto de valores | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From a norma FHIR | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom a norma FHIR | ||||
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | ||||
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
Essa estrutura é derivada de DiagnosticReport
Resumo
Obrigatório: 1 elemento
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Visão de diferenças
Essa estrutura é derivada de DiagnosticReport
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado |
| code |
1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) | |
| encounter |
1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado | |
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |
| conclusion |
0..1 | string | Interpretação do resultado | |
| conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |
| Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | |
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
Visão de elementos chave
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report. |
| code |
Σ | 1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) |
| encounter |
Σ | 1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado |
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |
| conclusion |
0..1 | string | Interpretação do resultado | |
| conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |
| Documentação para este formato | ||||
| Caminho | Conformidade | Conjunto de valores | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From a norma FHIR | |
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | |
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
Visão instantâneo
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: interpretacao-resultado | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Vínculo: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Vínculo: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Exame avaliado Vínculo: Exame (required) | ||||
| subject |
Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 1..1 | Reference(Consulta acompanhamento gestante) | Informações do exame avaliado | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..1 | Reference(Resultado de Exame Laboratorial Simples | Resultado de Exame Laboratorial Composto) | Resultado de referência | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Interpretação do resultado | |||||
| conclusionCode |
0..* | CodeableConcept | Interpretação codificada Vínculo: Conjunto de códigos CID10 e CIAP2 (required) | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentação para este formato | ||||||||
| Caminho | Conformidade | Conjunto de valores | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom a norma FHIR
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From a norma FHIR | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom a norma FHIR | ||||
| DiagnosticReport.code | required | Examehttps://fhir.saude.go.gov.br/r4/exame/ValueSet/exame | ||||
| DiagnosticReport.conclusionCode | required | CID10CIAP2https://fhir.saude.go.gov.br/r4/saude-mulher/ValueSet/cid10-ciap2From este IG |
| Id | Grau | Caminho(s) | Detalhes | Requisitos |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| interpretacao-resultado | error | DiagnosticReport | Impressão clínica ou confirmação diagnóstica do resultado do exame. : conclusion.exists() xor conclusionCode.exists() |
Essa estrutura é derivada de DiagnosticReport
Resumo
Obrigatório: 1 elemento
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Outras representações do perfil: CSV, Excel, Schematron