Guia de Implementação da SES GO - Estatísticas Vitais
1.0.4 - draft

Guia de Implementação da SES GO - Estatísticas Vitais - Downloaded Version 1.0.4 See the Directory of published versions

## Perfil: Método de Parto

URL oficial: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/metodo-parto | Versão: 1.0.4
Draft as of 2026-02-19 | Nome para computador: MetodoParto

Perfil para representar o método de parto da parturiente na Declaração de Nascido Vivo (DNV)

Usos:

- Refere a este Perfil: Declaração de Nascido Vivo Digital

You can also check for usages in the FHIR IG Statistics

### Representações do perfil

Descrição de perfis, diferenças, instantâneo, e como apresentações diferentes funcionam.

- Diferenças
- Elementos chave
- Detalhes
- Estatísticas/Referencias
- Tudo

Essa estrutura é derivada de Observation

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
identifier |  | 1..1 | Identifier | Business Identifier for observation
system |  | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value |  | 1..1 | string | Número da Declaração de Nascido Vivo
period |  |  |  |
start |  | 1..1 | dateTime | Data do preenchimento
status |  | 1..1 | code | registered | preliminary | final | amended + Padrão necessário: final
code |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
subject |  | 1..1 | Reference(Indivíduo) | Parturiente
identifier | C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
encounter |  | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
Fatias para value[x] |  | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Aberto por type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Actual result
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
code |  | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business Identifier for observation
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value | Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation. Padrão necessário: final
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
subject | Σ | 1..1 | Reference(Indivíduo) | Parturiente
identifier | Σ C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
Fatias para value[x] | Σ C | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Fechado por type:$this
value[x]:valueCodeableConcept | Σ C | 1..1 | CodeableConcept | Actual result
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
code | Σ | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | a norma FHIR
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business Identifier for observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value | Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
start | Σ C | 1..1 | dateTime | Data do preenchimento
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation. Padrão necessário: final
category |  | 0..* | CodeableConcept | Classification of type of observation Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Indivíduo) | Parturiente
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
Fatias para value[x] | Σ C | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Fechado por type:$this
value[x]:valueCodeableConcept | Σ C | 1..1 | CodeableConcept | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Vínculo: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | Ver referenceRange (Observation) | Provides guide for interpretation of component result
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
Observation.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | a norma FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | a norma FHIR
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | a norma FHIR
Observation.method | Base | example | Observation Methods | 📍4.0.1 | a norma FHIR
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | a norma FHIR
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | a norma FHIR
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Essa estrutura é derivada de Observation

Resumo

Obrigatório: 16 elementos(1 aninhado obrigatoriamente elemento)

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Atendimento do Parto (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/atendimento-parto)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of Observation.value[x]

Visão de diferenças

Essa estrutura é derivada de Observation

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
identifier |  | 1..1 | Identifier | Business Identifier for observation
system |  | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value |  | 1..1 | string | Número da Declaração de Nascido Vivo
period |  |  |  |
start |  | 1..1 | dateTime | Data do preenchimento
status |  | 1..1 | code | registered | preliminary | final | amended + Padrão necessário: final
code |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
subject |  | 1..1 | Reference(Indivíduo) | Parturiente
identifier | C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
encounter |  | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
Fatias para value[x] |  | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Aberto por type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Actual result
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
code |  | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business Identifier for observation
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value | Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation. Padrão necessário: final
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
subject | Σ | 1..1 | Reference(Indivíduo) | Parturiente
identifier | Σ C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
Fatias para value[x] | Σ C | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Fechado por type:$this
value[x]:valueCodeableConcept | Σ C | 1..1 | CodeableConcept | Actual result
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
code | Σ | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | a norma FHIR
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..1 | Identifier | Business Identifier for observation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Padrão necessário: http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv
value | Σ | 1..1 | string | Número da Declaração de Nascido Vivo Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
start | Σ C | 1..1 | dateTime | Data do preenchimento
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation. Padrão necessário: final
category |  | 0..* | CodeableConcept | Classification of type of observation Vínculo: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Padrão necessário: 57071-3
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Indivíduo) | Parturiente
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ C | 1..1 | Identifier | Logical reference, when literal reference is not known Constraints: CPFouCNS
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemplo General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do Parto
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
Fatias para value[x] | Σ C | 1..1 | CodeableConcept | Actual result Fatia: Não ordenado, Fechado por type:$this
value[x]:valueCodeableConcept | Σ C | 1..1 | CodeableConcept | Actual result
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
system | Σ | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/metodo-parto
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Tipo de parto Vínculo: Método de Parto (required)
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Vínculo: ObservationMethods (example): Methods for simple observations.
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
component | Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Vínculo: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Vínculo: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | Ver referenceRange (Observation) | Provides guide for interpretation of component result
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
Observation.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | a norma FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | a norma FHIR
Observation.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Observation.subject.​identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Observation.value[x]:valueCodeableConcept.​coding.code | Base | required | Método de Parto | 📦1.0.4 | este IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | a norma FHIR
Observation.method | Base | example | Observation Methods | 📍4.0.1 | a norma FHIR
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | a norma FHIR
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | a norma FHIR
Observation.component.​code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
CPFouCNS | error | Observation.subject.identifier | O sistema de identificação do indivíduo deve ser ou CPF ou CNS | `system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Essa estrutura é derivada de Observation

Resumo

Obrigatório: 16 elementos(1 aninhado obrigatoriamente elemento)

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
- Atendimento do Parto (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/atendimento-parto)

Fatias

Esta estrutura define os seguintes Slices:

- The element 1 is sliced based on the value of Observation.value[x]

Outras representações do perfil: CSV, Excel, Schematron