Guia de Implementação da SES GO - CORE
1.2.6 - draft
Guia de Implementação da SES GO - CORE - Downloaded Version 1.2.6 See the Directory of published versions
| Official URL: https://fhir.saude.go.gov.br/r4/core/StructureDefinition/sumario-alta | Version: 1.2.6 | |||
| Draft as of 2026-03-07 | Computable Name: SumarioAlta | |||
Documento clínico fundamental que serve como registro documental simplificado da permanência de um paciente em um hospital, fornecendo informações essenciais para a continuidade do tratamento após a alta hospitalar.
Usos:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final |
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Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. |
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Σ | 1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) |
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Σ | 1..1 | uri | Identity of the terminology system |
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Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta |
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Σ | 1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo |
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Σ | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition |
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Σ | 1..1 | dateTime | Data e hora que o documento foi gerado |
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Σ | 2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() |
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Σ | 1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde |
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Σ | 1..1 | Reference(Profissional) | Profissional responsável pela alta |
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Σ | 1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta |
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C | 3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title Constraints: cmp-1, cmp-2 |
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Conteúdo/regras para todas as fatias | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) | |
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C | 1..* | Reference(Resource) | A reference to data that supports this section |
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C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |
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C | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section |
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C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |
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C | 1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |
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C | 1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section |
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C | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |
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C | 1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |
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C | 1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |
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C | 1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |
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C | 1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section |
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C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |
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C | 1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() |
1..1 | code | preliminary | final | amended | entered-in-error Padrão necessário: final | |
![]() ![]() |
||||
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1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta | |
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1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo | |
![]() ![]() |
1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition | |
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1..1 | dateTime | Data e hora que o documento foi gerado | |
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2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() | |
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1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde | |
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1..1 | Reference(Profissional) | Profissional responsável pela alta | |
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1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta | |
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3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title | |
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Conteúdo/regras para todas as fatias | |||
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1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Resource) | A reference to data that supports this section | |
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1..1 | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |
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1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section | |
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1..1 | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |
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1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section | |
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1..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |
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1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |
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1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section | |
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0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |
![]() ![]() ![]() ![]() |
1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section | |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
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?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | ||||
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Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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Σ | 1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo | ||||
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Σ | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition | ||||
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Σ | 1..1 | dateTime | Data e hora que o documento foi gerado | ||||
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Σ | 2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() | ||||
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Σ | 1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde | ||||
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Σ | 1..1 | Reference(Profissional) | Profissional responsável pela alta | ||||
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Σ | 1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta | ||||
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Σ | 0..1 | code | As defined by affinity domain Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
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0..* | BackboneElement | Attests to accuracy of composition | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | personal | professional | legal | official Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
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0..1 | dateTime | When the composition was attested | |||||
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0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
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Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Vínculo: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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C | 3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title Constraints: cmp-1, cmp-2 | ||||
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Conteúdo/regras para todas as fatias | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) | |||||
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0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
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0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 1..* | Reference(Resource) | A reference to data that supports this section | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | Ver section (Composition) | Nested Section | ||||
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C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |||||
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0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section | ||||
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C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
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C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | a norma FHIR |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | a norma FHIR |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | a norma FHIR |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | a norma FHIR |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Resumo
Obrigatório: 12 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Fatias
Esta estrutura define os seguintes Slices:
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. |
![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) |
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta |
![]() ![]() |
Σ | 1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo |
![]() ![]() |
Σ | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition |
![]() ![]() |
Σ | 1..1 | dateTime | Data e hora que o documento foi gerado |
![]() ![]() |
Σ | 2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Profissional) | Profissional responsável pela alta |
![]() ![]() |
Σ | 1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta |
![]() ![]() |
C | 3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() |
Conteúdo/regras para todas as fatias | |||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Resource) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |
![]() ![]() ![]() ![]() |
C | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |
![]() ![]() ![]() ![]() |
C | 1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section |
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Composition
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
![]() ![]() |
1..1 | code | preliminary | final | amended | entered-in-error Padrão necessário: final | |
![]() ![]() |
||||
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta | |
![]() ![]() |
1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo | |
![]() ![]() |
1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition | |
![]() ![]() |
1..1 | dateTime | Data e hora que o documento foi gerado | |
![]() ![]() |
2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() | |
![]() ![]() ![]() |
1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde | |
![]() ![]() ![]() |
1..1 | Reference(Profissional) | Profissional responsável pela alta | |
![]() ![]() |
1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta | |
![]() ![]() |
3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title | |
![]() ![]() ![]() |
Conteúdo/regras para todas as fatias | |||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Resource) | A reference to data that supports this section | |
![]() ![]() ![]() |
1..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |
![]() ![]() ![]() ![]() |
1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
1..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
1..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |
![]() ![]() ![]() ![]() |
1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..1 | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |
![]() ![]() ![]() ![]() |
1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section | |
![]() ![]() ![]() |
0..* | BackboneElement | Composition is broken into sections | |
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |
![]() ![]() ![]() ![]() |
1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section | |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
Snapshot View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
![]() ![]() |
?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Vínculo: CompositionStatus (required): The workflow/clinical status of the composition. Padrão necessário: final | ||||
![]() ![]() |
Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Vínculo: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
Σ | 1..* | Coding | Code defined by a terminology system Vínculo: Tipo de Documento Clínico Representado (required) | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: sumario-alta | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Categorization of Composition Vínculo: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() |
Σ | 1..1 | Reference(Cidadão Identificado) | Identificação do Indivíduo | ||||
![]() ![]() |
Σ | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | Context of the Composition | ||||
![]() ![]() |
Σ | 1..1 | dateTime | Data e hora que o documento foi gerado | ||||
![]() ![]() |
Σ | 2..2 | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition Fatia: Não ordenado, Fechado por profile:resolve() | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Estabelecimento de Saúde) | Identificador do Estabelecimento de Saúde | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Profissional) | Profissional responsável pela alta | ||||
![]() ![]() |
Σ | 1..1 | string | Human Readable name/title Padrão necessário: Sumário de Alta | ||||
![]() ![]() |
Σ | 0..1 | code | As defined by affinity domain Vínculo: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
![]() ![]() |
0..* | BackboneElement | Attests to accuracy of composition | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | personal | professional | legal | official Vínculo: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
![]() ![]() ![]() |
0..1 | dateTime | When the composition was attested | |||||
![]() ![]() ![]() |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
![]() ![]() |
Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
![]() ![]() |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
1..1 | code | replaces | transforms | signs | appends Vínculo: DocumentRelationshipType (required): The type of relationship between documents. | |||||
![]() ![]() ![]() |
1..1 | Target of the relationship | ||||||
![]() ![]() ![]() ![]() |
Identifier | |||||||
![]() ![]() ![]() ![]() |
Reference(Composition) | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Vínculo: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
![]() ![]() ![]() |
Σ | 0..1 | Period | The period covered by the documentation | ||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
![]() ![]() |
C | 3..* | BackboneElement | Composition is broken into sections Fatia: Não ordenado, Aberto por value:title Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() |
Conteúdo/regras para todas as fatias | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Resource) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Contato Assistencial | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Reference(Contato Assistencial do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Diagnóstico(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Diagnóstico do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Restrição(ões) Funcional(is) ou Incapacidade(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Restrição Funcional ou Incapacidade do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Procedimento(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Procedimento do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Alergia(s) ou Reação(ões) Adversa(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Alergia e Reação Adversa do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Medicamento(s) Prescrito(s) | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Prescrição de Medicamento do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Plano de Cuidados | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..1 | Reference(Plano de Cuidados, Instruções e Recomendações do Sumário de Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
1..1 | string | Label for section (e.g. for ToC) Padrão necessário: Encaminhamento(s) Pós-Alta | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Classification of section (recommended) Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Vínculo: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
C | 1..* | Reference(Encaminhamento Pós-Alta) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Why the section is empty Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
![]() ![]() ![]() ![]() |
C | 0..* | Ver section (Composition) | Nested Section | ||||
Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | a norma FHIR |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | a norma FHIR |
| Composition.type.coding | Base | required | Tipo de Documento Clínico Representado | 📦1.2.6 | este IG |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | a norma FHIR |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | a norma FHIR |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | a norma FHIR |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | a norma FHIR |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v6.5 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:contatoAssistencial.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:diagnostico.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:restricaoFuncionalIncapacidade.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:procedimento.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:alergiaReacaoAdversa.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:medicamentoPrescrito.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:planoCuidados.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.code | Base | example | Document Section Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.mode | Base | required | ListMode | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | a norma FHIR |
| Composition.section:encaminhamentoPosAlta.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| cmp-1 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section, Composition.section:contatoAssistencial, Composition.section:diagnostico, Composition.section:restricaoFuncionalIncapacidade, Composition.section:procedimento, Composition.section:alergiaReacaoAdversa, Composition.section:medicamentoPrescrito, Composition.section:planoCuidados, Composition.section:encaminhamentoPosAlta | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Composition
Resumo
Obrigatório: 12 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Fatias
Esta estrutura define os seguintes Slices:
Other representations of profile: CSV, Excel, Schematron