Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Exame composto Binding: Exame (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
Slices for performer	Σ	2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:laboratorio	Σ	1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame ele-1: All FHIR elements must have a @value or children
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a) ele-1: All FHIR elements must have a @value or children
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
note		0..*	Annotation	Notas sobre o resultado composto ele-1: All FHIR elements must have a @value or children
specimen	C	1..1	Reference(Amostra)	Amostra biológica ele-1: All FHIR elements must have a @value or children ReferenceContained: Referência deve ser um recurso contido
hasMember	Σ	2..*	Reference(Exame Simples)	Exames realizados ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:laboratorio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado.
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada
partOf		0..0
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required)
code		1..1	CodeableConcept	Exame composto Binding: Exame (required)
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	C	1..1	Identifier	Logical reference, when literal reference is not known CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
focus		0..0
encounter		0..0
effective[x]		0..0
Slices for performer		2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id
performer:All Slices				Content/Rules for all slices
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:laboratorio		1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
performer:responsavelTecnico		1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
dataAbsentReason		0..0
note		0..*	Annotation	Notas sobre o resultado composto
bodySite		0..0
specimen	C	1..1	Reference(Amostra)	Amostra biológica ReferenceContained: Referência deve ser um recurso contido
device		0..0
hasMember		2..*	Reference(Exame Simples)	Exames realizados
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do 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 Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
basedOn	Σ	0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required)
code	Σ	1..1	CodeableConcept	Exame composto Binding: Exame (required)
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
issued	Σ	0..1	instant	Date/Time this version was made available
Slices for performer	Σ	2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:laboratorio	Σ	1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Notas sobre o resultado composto
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	1..1	Reference(Amostra)	Amostra biológica ReferenceContained: Referência deve ser um recurso contido
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	2..*	Reference(Exame Simples)	Exames realizados
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer:laboratorio.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer:laboratorio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:laboratorio.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer:responsavelTecnico.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 15 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• Suspeita Diagnóstica Investigada (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/suspeita-diagnostica-investigada)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Amostra (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/amostra)
• Exame Simples (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/exame-simples)

Extensions

This structure refers to these extensions:

• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.performer (Closed)

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Exame composto Binding: Exame (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
Slices for performer	Σ	2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:laboratorio	Σ	1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame ele-1: All FHIR elements must have a @value or children
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a) ele-1: All FHIR elements must have a @value or children
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
note		0..*	Annotation	Notas sobre o resultado composto ele-1: All FHIR elements must have a @value or children
specimen	C	1..1	Reference(Amostra)	Amostra biológica ele-1: All FHIR elements must have a @value or children ReferenceContained: Referência deve ser um recurso contido
hasMember	Σ	2..*	Reference(Exame Simples)	Exames realizados ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:laboratorio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado.
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada
partOf		0..0
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required)
code		1..1	CodeableConcept	Exame composto Binding: Exame (required)
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	C	1..1	Identifier	Logical reference, when literal reference is not known CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
focus		0..0
encounter		0..0
effective[x]		0..0
Slices for performer		2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id
performer:All Slices				Content/Rules for all slices
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:laboratorio		1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
performer:responsavelTecnico		1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
dataAbsentReason		0..0
note		0..*	Annotation	Notas sobre o resultado composto
bodySite		0..0
specimen	C	1..1	Reference(Amostra)	Amostra biológica ReferenceContained: Referência deve ser um recurso contido
device		0..0
hasMember		2..*	Reference(Exame Simples)	Exames realizados
derivedFrom		0..0
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present RN03-Exame: Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do 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 Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
basedOn	Σ	0..*	Reference(Suspeita Diagnóstica Investigada)	Suspeita diagnóstica investigada
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	Categoria do exame Binding: Subgrupos da Tabela SUS (required)
code	Σ	1..1	CodeableConcept	Exame composto Binding: Exame (required)
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known CPFouCNS: O sistema de identificação do indivíduo deve ser ou CPF ou CNS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
issued	Σ	0..1	instant	Date/Time this version was made available
Slices for performer	Σ	2..2	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Slice: Unordered, Closed by value:id
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:laboratorio	Σ	1..1	Reference(Estabelecimento de Saúde)	Laboratório responsável pelo exame
id		1..1	string	Unique id for inter-element referencing Required Pattern: laboratorio
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		1..1	string	Unique id for inter-element referencing Required Pattern: responsavelTecnico
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:conselhoProfissional		1..1	(Complex)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Notas sobre o resultado composto
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	1..1	Reference(Amostra)	Amostra biológica ReferenceContained: Referência deve ser um recurso contido
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	2..*	Reference(Exame Simples)	Exames realizados
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/core/ValueSet/exame from this IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer:laboratorio.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer:laboratorio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:laboratorio.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.performer:responsavelTecnico.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Observation.performer:responsavelTecnico.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 15 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• Suspeita Diagnóstica Investigada (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/suspeita-diagnostica-investigada)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Amostra (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/amostra)
• Exame Simples (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/exame-simples)

Extensions

This structure refers to these extensions:

• https://fhir.saude.go.gov.br/r4/core/StructureDefinition/conselho-profissional

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.performer (Closed)