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: IdentificacaoRecemNascido - Descrição detalhada

Draft as of 2026-02-19

Definições para identificacao-recem-nascido perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
Invariantes | nome-recem-nascido: Não é permitido utilizar abreviaturas no nome do recém-nascido. (`(name.text.matches('.*([A-Z].).*')).not()`)
2. Patient.extension
Controlo | 1..?
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
4. Patient.extension:raca
Nome da fatia | raca
Definição | Identifica a raça/cor do(a) recém-nascido(a).
Curto | Raça/cor
Controlo | 1..1
Tipo | Extension(Raça/Cor e Etnina) (Extensão complexa)
6. Patient.identifier
Curto | Identificador do recém-nascido
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..3
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ system
8. Patient.identifier:dnv
Nome da fatia | dnv
Curto | Número da Declaração de Nascido Vivo
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
10. Patient.identifier:dnv.system
Curto | O identificador do sistema de identificação, DNV
Controlo | 1..?
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv`
12. Patient.identifier:dnv.value
Definição | Número de distribuição exclusiva pelo Ministério da Saúde que identifica univocamente a Declaração de Nascido Vivo.
Curto | Número da Declaração de Nascido Vivo
Controlo | 1..?
14. Patient.identifier:cns
Nome da fatia | cns
Curto | Cartão Nacional de Saúde do Recém-Nascido
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
16. Patient.identifier:cns.system
Curto | O identificador do sistema de identificação, CNS
Controlo | 1..?
Valor do padrão | `https://fhir.saude.go.gov.br/sid/cns`
18. Patient.identifier:cns.value
Definição | Número do Cartão Nacional de Saúde (CNS) gerado para o/a recém-nascido/a na DNV.
Curto | Cartão Nacional de Saúde do Recém-Nascido
Controlo | 1..?
20. Patient.identifier:rc
Nome da fatia | rc
Curto | Registro Civil
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
22. Patient.identifier:rc.system
Curto | O identificador do sistema de identificação, RC
Controlo | 1..?
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/rc`
24. Patient.identifier:rc.value
Definição | Refere-se ao registro que consta no Livro de Registros de Nascimentos.
Curto | Registro Civil
Controlo | 1..?
26. Patient.identifier:rc.period
Controlo | 1..?
28. Patient.identifier:rc.period.start
Definição | Data em que foi efetuado o registro e que deve ser a do Livro de Registros de Nascimentos.
Curto | Data do Registro Civil
Controlo | 1..?
30. Patient.identifier:rc.assigner
Controlo | 1..?
Tipo | Reference(Cartório de Registro Civil)
32. Patient.name
Controlo | 1..1
34. Patient.name.text
Definição | Nome do(a) Recém-Nascido(a) declarado pela(o) parturiente.
Curto | Nome do Recém-Nascido
Controlo | 1..?
36. Patient.gender
Definição | Sexo identificado ao nascer.
Curto | Sexo
Controlo | 1..?
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender` )
38. Patient.birthDate
Definição | Data em que ocorreu o nascimento.
Curto | Data de nascimento
Controlo | 1..?
Código LOINC |
40. Patient.birthDate.extension
Controlo | 1..?
Slicing | Este elemento introduz um conjunto de fatias em `Patient.birthDate.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
42. Patient.birthDate.extension:horaNascimento
Nome da fatia | horaNascimento
Definição | Hora exata ou aproximada em que ocorreu o nascimento.
Curto | Hora do nascimento
Controlo | 1..1
Tipo | Extension(Patient/Person/RelatedPerson/Practitioner Birth Time) (Tipo de extensão: dateTime)
44. Patient.contact
46. Patient.contact.extension
Controlo | 1..?
Slicing | Este elemento introduz um conjunto de fatias em `Patient.contact.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
48. Patient.contact.extension:idadeResponsavelLegal
Nome da fatia | idadeResponsavelLegal
Definição | Idade do(a) primeiro(a) representante legal informado(a), em anos.
Curto | Idade do Responsável Legal
Controlo | 1..1
Tipo | Extension(Idade) (Tipo de extensão: Age)
50. Patient.contact.name
Controlo | 1..?
52. Patient.contact.name.text
Definição | Nome de um ou dos dois representantes legais.
Curto | Nome do Responsável Legal
Controlo | 1..?

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
Definição | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Curto | Information about an individual or animal receiving health care services
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | SubjectOfCare Client Resident
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) nome-recem-nascido: Não é permitido utilizar abreviaturas no nome do recém-nascido. (`(name.text.matches('.*([A-Z].).*')).not()`)
2. Patient.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..1
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension
Definição | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | ExtensionAdditional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 10..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
6. Patient.extension:raca
Nome da fatia | raca
Definição | Identifica a raça/cor do(a) recém-nascido(a).
Curto | Raça/cor
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Raça/Cor e Etnina) (Extensão complexa)
É modificador | false
Nomes alternativos | raça, etnia, cor, cútis
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Patient.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Patient.identifier
Definição | An identifier for this patient.
Curto | Identificador do recém-nascidoAn identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..3*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ system
12. Patient.identifier:dnv
Nome da fatia | dnv
Definição | An identifier for this patient.
Curto | Número da Declaração de Nascido VivoAn identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Patient.identifier:dnv.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Patient.identifier:dnv.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, DNVThe namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Patient.identifier:dnv.value
Definição | Número de distribuição exclusiva pelo Ministério da Saúde que identifica univocamente a Declaração de Nascido Vivo. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | Número da Declaração de Nascido VivoThe value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.identifier:cns
Nome da fatia | cns
Definição | An identifier for this patient.
Curto | Cartão Nacional de Saúde do Recém-NascidoAn identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.identifier:cns.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Patient.identifier:cns.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, CNSThe namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `https://fhir.saude.go.gov.br/sid/cns`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Patient.identifier:cns.value
Definição | Número do Cartão Nacional de Saúde (CNS) gerado para o/a recém-nascido/a na DNV. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | Cartão Nacional de Saúde do Recém-NascidoThe value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.identifier:rc
Nome da fatia | rc
Definição | An identifier for this patient.
Curto | Registro CivilAn identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1*
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.identifier:rc.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.identifier:rc.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, RCThe namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/rc`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:rc.value
Definição | Refere-se ao registro que consta no Livro de Registros de Nascimentos. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | Registro CivilThe value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.identifier:rc.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 10..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Patient.identifier:rc.period.start
Definição | Data em que foi efetuado o registro e que deve ser a do Livro de Registros de Nascimentos. The start of the period. The boundary is inclusive.
Curto | Data do Registro CivilStarting time with inclusive boundary
Comentários | If the low element is missing, the meaning is that the low boundary is not known.
Controlo | 10..1 Este elemento é afetado pelas seguintes invariantes: per-1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Patient.identifier:rc.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 10..1
Tipo | Reference(Cartório de Registro Civil, Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.active
Definição | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Curto | Whether this patient's record is in active use
Comentários | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Controlo | 0..1
Tipo | boolean
É modificador | true porque This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to mark a patient record as not to be used because it was created in error.
Significado em caso de falta | This resource is generally assumed to be active if no value is provided for the active element
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Patient.name
Definição | A name associated with the individual.
Curto | A name associated with the patient
Comentários | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Controlo | 10..1*
Tipo | HumanName
É modificador | false
Resumo | true
Requisitos | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Patient.name.use
Definição | Identifies the purpose for this name.
Curto | usual | official | temp | nickname | anonymous | old | maiden
Comentários | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.name.text
Definição | Nome do(a) Recém-Nascido(a) declarado pela(o) parturiente. Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Curto | Nome do Recém-NascidoText representation of the full name
Comentários | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | A renderable, unencoded form.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Patient.gender
Definição | Sexo identificado ao nascer. Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Curto | Sexomale | female | other | unknown
Comentários | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to `http://hl7.org/fhir/ValueSet/administrative-gender` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Patient.birthDate
Definição | Data em que ocorreu o nascimento. The date of birth for the individual.
Curto | Data de nascimentoThe date of birth for the individual
Comentários | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Controlo | 10..1
Tipo | date
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Age of the individual drives many clinical processes.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Código LOINC | 21112-8
54. Patient.birthDate.extension
Definição | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | ExtensionAdditional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 10..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Este elemento introduz um conjunto de fatias em `Patient.birthDate.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
56. Patient.birthDate.extension:horaNascimento
Nome da fatia | horaNascimento
Definição | Hora exata ou aproximada em que ocorreu o nascimento.
Curto | Hora do nascimento
Comentários | The patient prefix on the extension was retained to ensure backward compatibility with existing data (the content itself is provided to assist in sharing data across patient resources effectively)
Controlo | 1..1
Tipo | Extension(Patient/Person/RelatedPerson/Practitioner Birth Time) (Tipo de extensão: dateTime)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
58. Patient.deceased[x]
Definição | Indicates if the individual is deceased or not.
Curto | Indicates if the individual is deceased or not
Comentários | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Controlo | 0..1
Tipo | Escolha de: boolean, dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | true porque This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Patient.link
Definição | Link to another patient resource that concerns the same actual patient.
Curto | Link to another patient resource that concerns the same actual person
Comentários | There is no assumption that linked patient records have mutual links.
Controlo | 0..*
Tipo | BackboneElement
É modificador | true porque This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Resumo | true
Requisitos | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.link.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. Patient.link.other
Definição | The other patient resource that the link refers to.
Curto | The other patient or related person resource that the link refers to
Comentários | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Controlo | 1..1
Tipo | Reference(Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.link.type
Definição | The type of link between this patient resource and another patient resource.
Curto | replaced-by | replaces | refer | seealso
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
Definição | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Curto | Information about an individual or animal receiving health care services
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | SubjectOfCare Client Resident
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) nome-recem-nascido: Não é permitido utilizar abreviaturas no nome do recém-nascido. (`(name.text.matches('.*([A-Z].).*')).not()`)
2. Patient.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 0..1
Tipo | id
É modificador | false
Resumo | true
4. Patient.meta
Definição | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Curto | Metadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Patient.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..1
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Patient.language
Definição | The base language in which the resource is written.
Curto | Language of the resource content
Comentários | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Patient.text
Definição | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Curto | Text summary of the resource, for human interpretation
Comentários | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Patient.contained
Definição | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Curto | Contained, inline Resources
Comentários | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. Patient.extension
Definição | An Extension
Curto | Extension
Controlo | 1..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
16. Patient.extension:raca
Nome da fatia | raca
Definição | Identifica a raça/cor do(a) recém-nascido(a).
Curto | Raça/cor
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Raça/Cor e Etnina) (Extensão complexa)
É modificador | false
Nomes alternativos | raça, etnia, cor, cútis
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Patient.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Patient.identifier
Definição | An identifier for this patient.
Curto | Identificador do recém-nascido
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..3
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier`. As fatias sãoNão ordenado e Closede pode ser diferenciado utilizando os seguintes discriminadores: value @ system
22. Patient.identifier:dnv
Nome da fatia | dnv
Definição | An identifier for this patient.
Curto | Número da Declaração de Nascido Vivo
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Patient.identifier:dnv.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
26. Patient.identifier:dnv.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
28. Patient.identifier:dnv.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Patient.identifier:dnv.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Patient.identifier:dnv.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, DNV
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/dnv`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Patient.identifier:dnv.value
Definição | Número de distribuição exclusiva pelo Ministério da Saúde que identifica univocamente a Declaração de Nascido Vivo.
Curto | Número da Declaração de Nascido Vivo
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Patient.identifier:dnv.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Patient.identifier:dnv.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Patient.identifier:cns
Nome da fatia | cns
Definição | An identifier for this patient.
Curto | Cartão Nacional de Saúde do Recém-Nascido
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Patient.identifier:cns.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
44. Patient.identifier:cns.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
46. Patient.identifier:cns.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Patient.identifier:cns.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Patient.identifier:cns.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, CNS
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `https://fhir.saude.go.gov.br/sid/cns`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Patient.identifier:cns.value
Definição | Número do Cartão Nacional de Saúde (CNS) gerado para o/a recém-nascido/a na DNV.
Curto | Cartão Nacional de Saúde do Recém-Nascido
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Patient.identifier:cns.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Patient.identifier:cns.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Patient.identifier:rc
Nome da fatia | rc
Definição | An identifier for this patient.
Curto | Registro Civil
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Patient.identifier:rc.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
62. Patient.identifier:rc.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
64. Patient.identifier:rc.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Patient.identifier:rc.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Patient.identifier:rc.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | O identificador do sistema de identificação, RC
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Valor do padrão | `http://www.saude.go.gov.br/fhir/r4/NamingSystem/rc`
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Patient.identifier:rc.value
Definição | Refere-se ao registro que consta no Livro de Registros de Nascimentos.
Curto | Registro Civil
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Patient.identifier:rc.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 1..1
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Patient.identifier:rc.period.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
76. Patient.identifier:rc.period.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.identifier.period.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
78. Patient.identifier:rc.period.start
Definição | Data em que foi efetuado o registro e que deve ser a do Livro de Registros de Nascimentos.
Curto | Data do Registro Civil
Comentários | If the low element is missing, the meaning is that the low boundary is not known.
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: per-1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Patient.identifier:rc.period.end
Definição | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Curto | End time with inclusive boundary, if not ongoing
Comentários | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: per-1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Significado em caso de falta | If the end of the period is missing, it means that the period is ongoing
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Patient.identifier:rc.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 1..1
Tipo | Reference(Cartório de Registro Civil)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Patient.active
Definição | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Curto | Whether this patient's record is in active use
Comentários | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Controlo | 0..1
Tipo | boolean
É modificador | true porque This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to mark a patient record as not to be used because it was created in error.
Significado em caso de falta | This resource is generally assumed to be active if no value is provided for the active element
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Patient.name
Definição | A name associated with the individual.
Curto | A name associated with the patient
Comentários | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Controlo | 1..1
Tipo | HumanName
É modificador | false
Resumo | true
Requisitos | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Patient.name.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
90. Patient.name.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.name.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
92. Patient.name.use
Definição | Identifies the purpose for this name.
Curto | usual | official | temp | nickname | anonymous | old | maiden
Comentários | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Patient.name.text
Definição | Nome do(a) Recém-Nascido(a) declarado pela(o) parturiente.
Curto | Nome do Recém-Nascido
Comentários | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | A renderable, unencoded form.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Patient.name.family
Definição | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Curto | Family name (often called 'Surname')
Comentários | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | surname
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Patient.name.given
Definição | Given name.
Curto | Given names (not always 'first'). Includes middle names
Comentários | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | first name, middle name
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Patient.name.prefix
Definição | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Curto | Parts that come before the name
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Patient.name.suffix
Definição | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Curto | Parts that come after the name
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Patient.name.period
Definição | Indicates the period of time when this name was valid for the named person.
Curto | Time period when name was/is in use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Requisitos | Allows names to be placed in historical context.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Patient.telecom
Definição | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Curto | A contact detail for the individual
Comentários | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Controlo | 0..*
Tipo | ContactPoint
É modificador | false
Resumo | true
Requisitos | People have (primary) ways to contact them in some way such as phone, email.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Patient.gender
Definição | Sexo identificado ao nascer.
Curto | Sexo
Comentários | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Patient.birthDate
Definição | Data em que ocorreu o nascimento.
Curto | Data de nascimento
Comentários | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Controlo | 1..1
Tipo | date
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Age of the individual drives many clinical processes.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Código LOINC | 21112-8
112. Patient.birthDate.id
Definição | unique id for the element within a resource (for internal references)
Curto | xml:id (or equivalent in JSON)
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
114. Patient.birthDate.extension
Definição | An Extension
Curto | Extension
Controlo | 1..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.birthDate.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
116. Patient.birthDate.extension:horaNascimento
Nome da fatia | horaNascimento
Definição | Hora exata ou aproximada em que ocorreu o nascimento.
Curto | Hora do nascimento
Comentários | The patient prefix on the extension was retained to ensure backward compatibility with existing data (the content itself is provided to assist in sharing data across patient resources effectively)
Controlo | 1..1
Tipo | Extension(Patient/Person/RelatedPerson/Practitioner Birth Time) (Tipo de extensão: dateTime)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. Patient.birthDate.value
Definição | The actual value
Curto | Primitive value for date
Controlo | 0..1
Tipo | date
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
120. Patient.deceased[x]
Definição | Indicates if the individual is deceased or not.
Curto | Indicates if the individual is deceased or not
Comentários | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Controlo | 0..1
Tipo | Escolha de: boolean, dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | true porque This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Patient.address
Definição | An address for the individual.
Curto | An address for the individual
Comentários | Patient may have multiple addresses with different uses or applicable periods.
Controlo | 0..*
Tipo | Address
É modificador | false
Resumo | true
Requisitos | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Patient.maritalStatus
Definição | This field contains a patient's most recent marital (civil) status.
Curto | Marital (civil) status of a patient
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Marital Status Codes (extensible to `http://hl7.org/fhir/ValueSet/marital-status|4.0.1` ) The domestic partnership status of a person.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Most, if not all systems capture it.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Patient.multipleBirth[x]
Definição | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Curto | Whether patient is part of a multiple birth
Comentários | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
Controlo | 0..1
Tipo | Escolha de: boolean, integer
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Patient.photo
Definição | Image of the patient.
Curto | Image of the patient
Comentários | Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates.
Controlo | 0..*
Tipo | Attachment
É modificador | false
Resumo | false
Requisitos | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Patient.contact
Definição | A contact party (e.g. guardian, partner, friend) for the patient.
Curto | A contact party (e.g. guardian, partner, friend) for the patient
Comentários | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Requisitos | Need to track people you can contact about the patient.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`)
132. Patient.contact.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
134. Patient.contact.extension
Definição | An Extension
Curto | Extension
Controlo | 1..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.contact.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
136. Patient.contact.extension:idadeResponsavelLegal
Nome da fatia | idadeResponsavelLegal
Definição | Idade do(a) primeiro(a) representante legal informado(a), em anos.
Curto | Idade do Responsável Legal
Controlo | 1..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Idade) (Tipo de extensão: Age)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
138. Patient.contact.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
140. Patient.contact.relationship
Definição | The nature of the relationship between the patient and the contact person.
Curto | The kind of relationship
Controlo | 0..*
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de PatientContactRelationship (extensible to `http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1` ) The nature of the relationship between a patient and a contact person for that patient.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Patient.contact.name
Definição | A name associated with the contact person.
Curto | A name associated with the contact person
Controlo | 1..1
Tipo | HumanName
É modificador | false
Resumo | false
Requisitos | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Patient.contact.name.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
146. Patient.contact.name.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.contact.name.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
148. Patient.contact.name.use
Definição | Identifies the purpose for this name.
Curto | usual | official | temp | nickname | anonymous | old | maiden
Comentários | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Patient.contact.name.text
Definição | Nome de um ou dos dois representantes legais.
Curto | Nome do Responsável Legal
Comentários | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | A renderable, unencoded form.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Patient.contact.name.family
Definição | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Curto | Family name (often called 'Surname')
Comentários | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | surname
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Patient.contact.name.given
Definição | Given name.
Curto | Given names (not always 'first'). Includes middle names
Comentários | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | first name, middle name
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Patient.contact.name.prefix
Definição | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Curto | Parts that come before the name
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Patient.contact.name.suffix
Definição | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Curto | Parts that come after the name
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Patient.contact.name.period
Definição | Indicates the period of time when this name was valid for the named person.
Curto | Time period when name was/is in use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Requisitos | Allows names to be placed in historical context.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Patient.contact.telecom
Definição | A contact detail for the person, e.g. a telephone number or an email address.
Curto | A contact detail for the person
Comentários | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
Controlo | 0..*
Tipo | ContactPoint
É modificador | false
Resumo | false
Requisitos | People have (primary) ways to contact them in some way such as phone, email.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. Patient.contact.address
Definição | Address for the contact person.
Curto | Address for the contact person
Controlo | 0..1
Tipo | Address
É modificador | false
Resumo | false
Requisitos | Need to keep track where the contact person can be contacted per postal mail or visited.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Patient.contact.gender
Definição | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Curto | male | female | other | unknown
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | Needed to address the person correctly.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. Patient.contact.organization
Definição | Organization on behalf of which the contact is acting or for which the contact is working.
Curto | Organization that is associated with the contact
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: pat-1
Tipo | Reference(Organization)
É modificador | false
Resumo | false
Requisitos | For guardians or business related contacts, the organization is relevant.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Patient.contact.period
Definição | The period during which this contact person or organization is valid to be contacted relating to this patient.
Curto | The period during which this contact person or organization is valid to be contacted relating to this patient
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Patient.communication
Definição | A language which may be used to communicate with the patient about his or her health.
Curto | A language which may be used to communicate with the patient about his or her health
Comentários | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Requisitos | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Patient.communication.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
176. Patient.communication.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
178. Patient.communication.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
180. Patient.communication.language
Definição | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Curto | The language which can be used to communicate with the patient about his or her health
Comentários | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Patient.communication.preferred
Definição | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Curto | Language preference indicator
Comentários | This language is specifically identified for communicating healthcare information.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Patient.generalPractitioner
Definição | Patient's nominated care provider.
Curto | Patient's nominated primary care provider
Comentários | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Controlo | 0..*
Tipo | Reference(Organization, Practitioner, PractitionerRole)
É modificador | false
Resumo | false
Nomes alternativos | careProvider
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Patient.managingOrganization
Definição | Organization that is the custodian of the patient record.
Curto | Organization that is the custodian of the patient record
Comentários | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Requisitos | Need to know who recognizes this patient record, manages and updates it.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Patient.link
Definição | Link to another patient resource that concerns the same actual patient.
Curto | Link to another patient resource that concerns the same actual person
Comentários | There is no assumption that linked patient records have mutual links.
Controlo | 0..*
Tipo | BackboneElement
É modificador | true porque This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Resumo | true
Requisitos | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Patient.link.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
192. Patient.link.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
194. Patient.link.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
196. Patient.link.other
Definição | The other patient resource that the link refers to.
Curto | The other patient or related person resource that the link refers to
Comentários | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Controlo | 1..1
Tipo | Reference(Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Patient.link.type
Definição | The type of link between this patient resource and another patient resource.
Curto | replaced-by | replaces | refer | seealso
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de LinkType (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)