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: Anomalia Congênita Observada no Nascimento

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

Perfil para representar anomalias congênitas observadas no recém-nascido. Este perfil é utilizado na Declaração de Nascido Vivo (DNV) para registrar malformações congênitas e defeitos estruturais presentes ao nascimento, conforme classificações padronizadas.

Usos:

- Refere a este Perfil: Dados Clínicos do(a) Recém-Nascido(a) and 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 Condition

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
identifier |  | 1..1 | Identifier | External Ids for this condition
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
code |  | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/anomalias-congenitas
code |  | 1..1 | code | Symbol in syntax defined by the system Vínculo: Anomalias Congênitas (required)
display |  | 1..1 | string | Representation defined by the system
subject |  | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter |  | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] |  | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Aberto por type:$this
onset[x]:onsetDateTime |  | 1..1 | dateTime | Data de nascimento
recordedDate |  | 1..1 | dateTime | Data do preenchimento
recorder |  | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter |  | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
note |  |  |  |
text |  | 1..1 | markdown | Observações adicionais sobre a anomalia
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.code.coding.​code | Base | required | Anomalias Congênitas | 📦1.0.4 | este IG

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
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 | External Ids for this condition
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
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Vínculo: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Vínculo: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code | Σ | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s) Vínculo: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
subject | Σ | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Fechado por type:$this
onset[x]:onsetDateTime | Σ | 1..1 | dateTime | Data de nascimento
recordedDate | Σ | 1..1 | dateTime | Data do preenchimento
recorder | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | a norma FHIR
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | a norma FHIR
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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()`

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
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 | External Ids for this condition
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)
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Vínculo: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Vínculo: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Vínculo: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | Σ | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s) Vínculo: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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 | 0..* | 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/anomalias-congenitas
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Vínculo: Anomalias Congênitas (required)
display | Σ | 1..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
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Fechado por type:$this
onset[x]:onsetDateTime | Σ | 1..1 | dateTime | Data de nascimento
abatement[x] | C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 1..1 | dateTime | Data do preenchimento
recorder | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
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
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Vínculo: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Vínculo: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
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 C | 0..* | CodeableConcept | Manifestation/symptom Vínculo: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
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
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Observações adicionais sobre a anomalia
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
Condition.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Condition.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | a norma FHIR
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | a norma FHIR
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | a norma FHIR
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | a norma FHIR
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | a norma FHIR
Condition.code.coding.​code | Base | required | Anomalias Congênitas | 📦1.0.4 | este IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | a norma FHIR
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | a norma FHIR
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | a norma FHIR
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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()`

Essa estrutura é derivada de Condition

Resumo

Obrigatório: 8 elementos(4 aninhado obrigatoriamente elementos)

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Identificação do(a) Recém-Nascido(a) (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/identificacao-recem-nascido)
- Atendimento do Parto (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/atendimento-parto)
- Responsável pelo Preenchimento do Documento (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/responsavel-preenchimento-dnv)

Fatias

Esta estrutura define os seguintes Slices:

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

Visão de diferenças

Essa estrutura é derivada de Condition

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
identifier |  | 1..1 | Identifier | External Ids for this condition
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
code |  | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Padrão necessário: https://fhir.saude.go.gov.br/r4/estatisticas-vitais/CodeSystem/anomalias-congenitas
code |  | 1..1 | code | Symbol in syntax defined by the system Vínculo: Anomalias Congênitas (required)
display |  | 1..1 | string | Representation defined by the system
subject |  | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter |  | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] |  | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Aberto por type:$this
onset[x]:onsetDateTime |  | 1..1 | dateTime | Data de nascimento
recordedDate |  | 1..1 | dateTime | Data do preenchimento
recorder |  | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter |  | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
note |  |  |  |
text |  | 1..1 | markdown | Observações adicionais sobre a anomalia
Documentação para este formato

#### Terminologia Ligações (Diferencial)

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.code.coding.​code | Base | required | Anomalias Congênitas | 📦1.0.4 | este IG

Visão de elementos chave

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
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 | External Ids for this condition
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
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Vínculo: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Vínculo: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code | Σ | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s) Vínculo: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
subject | Σ | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Fechado por type:$this
onset[x]:onsetDateTime | Σ | 1..1 | dateTime | Data de nascimento
recordedDate | Σ | 1..1 | dateTime | Data do preenchimento
recorder | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | a norma FHIR
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | a norma FHIR
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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()`

Visão instantâneo

Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: Condicionantes Obrigações Vínculos
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
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 | External Ids for this condition
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)
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Vínculo: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Vínculo: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Vínculo: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Vínculo: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | Σ | 1..1 | CodeableConcept | Anomalia(s) congênita(s) observada(s) Vínculo: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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 | 0..* | 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/anomalias-congenitas
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Vínculo: Anomalias Congênitas (required)
display | Σ | 1..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
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Vínculo: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(Identificação do(a) Recém-Nascido(a)) | Identificação do(a) Recém-Nascido(a)
encounter | Σ | 1..1 | Reference(Atendimento do Parto) | Atendimento do parto
Fatias para onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Fatia: Não ordenado, Fechado por type:$this
onset[x]:onsetDateTime | Σ | 1..1 | dateTime | Data de nascimento
abatement[x] | C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 1..1 | dateTime | Data do preenchimento
recorder | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional responsável pelo registro
asserter | Σ | 0..1 | Reference(Responsável pelo Preenchimento do Documento) | Profissional que confirmou a anomalia
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
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
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Vínculo: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Vínculo: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
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 C | 0..* | CodeableConcept | Manifestation/symptom Vínculo: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
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
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Observações adicionais sobre a anomalia
Documentação para este formato

#### Terminologia Ligações

Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR
Condition.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | a norma FHIR
Condition.identifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | a norma FHIR
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | a norma FHIR
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | a norma FHIR
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | a norma FHIR
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | a norma FHIR
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | a norma FHIR
Condition.code.coding.​code | Base | required | Anomalias Congênitas | 📦1.0.4 | este IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | a norma FHIR
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | a norma FHIR
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | a norma FHIR
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | a norma FHIR

#### Restrições

Id | Grau | Caminho(s) | Descrição | Expressão
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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()`

Essa estrutura é derivada de Condition

Resumo

Obrigatório: 8 elementos(4 aninhado obrigatoriamente elementos)

Estruturas

Esta estrutura refere-se a estas outras estruturas:

- Identificação do(a) Recém-Nascido(a) (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/identificacao-recem-nascido)
- Atendimento do Parto (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/atendimento-parto)
- Responsável pelo Preenchimento do Documento (https://fhir.saude.go.gov.br/r4/estatisticas-vitais/StructureDefinition/responsavel-preenchimento-dnv)

Fatias

Esta estrutura define os seguintes Slices:

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

Outras representações do perfil: CSV, Excel, Schematron