Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: RN03-Exame, RN04-Exame
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..*	Reference(Informações Sobre a Solicitação do Exame)	Suspeita diagnóstica investigada
partOf		0..0
category		1..1	CodeableConcept	Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code		1..1	CodeableConcept	Exame Vínculo: Exame (required)
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	C	1..1	Identifier	Logical reference, when literal reference is not known Constraints: CPFouCNS
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
focus		0..0
encounter		0..0
effective[x]		0..0
issued		1..1	instant	Data e hora do resultado
Fatias para performer		3..4	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Fatia: Não ordenado, Fechado por value:$this.id
performer:Todas as fatias				Conteúdo/regras para todas as fatias
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:estabelecimentoPrincipal		1..1	Reference(Estabelecimento de Saúde)	Estabelecimento principal
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
performer:estabelecimentoApoio		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de apoio ou referência - executor
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
performer:responsavelTecnico		1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelTecnico
extension		1..*	Extension	Extension
Fatias para extension				Conteúdo/regras para todas as fatias
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
performer:responsavelResultado		1..1	Reference(Profissional)	Responsável pelo resultado
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelResultado
extension		1..*	Extension	Extension
Fatias para extension				Conteúdo/regras para todas as fatias
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
Fatias para value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado do exame Fatia: Não ordenado, Aberto por type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Resultado do exame qualitativo - estruturado Vínculo: Resultado Qualitativo Exame (required)
value[x]:valueString		0..1	string	Resultado do exame qualitativo - descritivo
value[x]:valueQuantity		0..1	Quantity	Resultado do exame quantitativo
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
dataAbsentReason		0..0
interpretation		0..*	CodeableConcept	Interpretação do exame estruturado
note		0..*	Annotation	Notas sobre o resultado
bodySite		0..0
method		0..1	CodeableConcept	Método de análise
specimen	C	1..1	Reference(Amostra para Exame Laboratorial)	Amostra biológica Constraints: ReferenceContained
device		0..0
referenceRange
low		0..1	SimpleQuantity	Valor inferior
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
high		0..1	SimpleQuantity	Valor superior
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
type		0..1	CodeableConcept	Significado do intervalo
appliesTo		0..*	CodeableConcept	População-alvo
age		0..1	Range	Idade-alvo
text		0..1	string	Valores de referência descritivos
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame From este IG
Observation.value[x]:valueCodeableConcept	required	ResultadoQualitativoExame https://fhir.saude.go.gov.br/r4/exame/ValueSet/resultado-qualitativo-exame From este IG

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
RN04-Exame	warning	Observation	Se o resultado for quantitativo, é obrigatório enviar os valores de referência (referenceRange), sejam eles estruturados ou não estruturados. O laudo deve conter os valores de referência sobre o resultado quantitativo sendo eles estruturados ou não estruturados. : (value is Quantity) implies referenceRange.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, RN03-Exame, RN04-Exame
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
basedOn	Σ	0..*	Reference(Informações Sobre a Solicitação do Exame)	Suspeita diagnóstica investigada
status	?!Σ	1..1	code	registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code	Σ	1..1	CodeableConcept	Exame Vínculo: Exame (required)
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known Constraints: CPFouCNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
issued	Σ	1..1	instant	Data e hora do resultado
Fatias para performer	Σ	3..4	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Fatia: Não ordenado, Fechado por value:$this.id
performer:Todas as fatias				Conteúdo/regras para todas as fatias
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:estabelecimentoPrincipal	Σ	1..1	Reference(Estabelecimento de Saúde)	Estabelecimento principal
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:estabelecimentoApoio	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de apoio ou referência - executor
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelTecnico
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:responsavelResultado	Σ	1..1	Reference(Profissional)	Responsável pelo resultado
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelResultado
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
Fatias para value[x]	ΣC	1..1		Resultado do exame Fatia: Não ordenado, Aberto por type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Resultado do exame qualitativo - estruturado Vínculo: Resultado Qualitativo Exame (required)
value[x]:valueString	ΣC	0..1	string	Resultado do exame qualitativo - descritivo
value[x]:valueQuantity	ΣC	0..1	Quantity	Resultado do exame quantitativo
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
interpretation		0..*	CodeableConcept	Interpretação do exame estruturado Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Notas sobre o resultado
method		0..1	CodeableConcept	Método de análise Vínculo: ObservationMethods (example): Methods for simple observations.
specimen	C	1..1	Reference(Amostra para Exame Laboratorial)	Amostra biológica Constraints: ReferenceContained
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From a norma FHIR
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame From este IG
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoPrincipal.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoApoio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelResultado.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.value[x]:valueCodeableConcept	required	ResultadoQualitativoExame https://fhir.saude.go.gov.br/r4/exame/ValueSet/resultado-qualitativo-exame From este IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From a norma FHIR
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From a norma FHIR
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From a norma FHIR
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
RN04-Exame	warning	Observation	Se o resultado for quantitativo, é obrigatório enviar os valores de referência (referenceRange), sejam eles estruturados ou não estruturados. O laudo deve conter os valores de referência sobre o resultado quantitativo sendo eles estruturados ou não estruturados. : (value is Quantity) implies referenceRange.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, RN03-Exame, RN04-Exame
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Vínculo: CommonLanguages (preferred): A human language. Vínculos adicionais Objetivo AllLanguages Vínculo máximo
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
basedOn	Σ	0..*	Reference(Informações Sobre a Solicitação do Exame)	Suspeita diagnóstica investigada
status	?!Σ	1..1	code	registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code	Σ	1..1	CodeableConcept	Exame Vínculo: Exame (required)
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known Constraints: CPFouCNS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
issued	Σ	1..1	instant	Data e hora do resultado
Fatias para performer	Σ	3..4	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Fatia: Não ordenado, Fechado por value:$this.id
performer:Todas as fatias				Conteúdo/regras para todas as fatias
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:estabelecimentoPrincipal	Σ	1..1	Reference(Estabelecimento de Saúde)	Estabelecimento principal
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:estabelecimentoApoio	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de apoio ou referência - executor
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelTecnico
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:responsavelResultado	Σ	1..1	Reference(Profissional)	Responsável pelo resultado
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelResultado
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Vínculo: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
Fatias para value[x]	ΣC	1..1		Resultado do exame Fatia: Não ordenado, Aberto por type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Resultado do exame qualitativo - estruturado Vínculo: Resultado Qualitativo Exame (required)
value[x]:valueString	ΣC	0..1	string	Resultado do exame qualitativo - descritivo
value[x]:valueQuantity	ΣC	0..1	Quantity	Resultado do exame quantitativo
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit
interpretation		0..*	CodeableConcept	Interpretação do exame estruturado Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Notas sobre o resultado
method		0..1	CodeableConcept	Método de análise Vínculo: ObservationMethods (example): Methods for simple observations.
specimen	C	1..1	Reference(Amostra para Exame Laboratorial)	Amostra biológica Constraints: ReferenceContained
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Valor inferior
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit
high	C	0..1	SimpleQuantity	Valor superior
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit
type		0..1	CodeableConcept	Significado do intervalo Vínculo: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	População-alvo Vínculo: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Idade-alvo
text		0..1	string	Valores de referência descritivos
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From a norma FHIR Vínculos adicionais Objetivo AllLanguages Vínculo máximo
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From a norma FHIR
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame From este IG
Observation.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.performer:estabelecimentoPrincipal.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.performer:estabelecimentoPrincipal.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoPrincipal.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.performer:estabelecimentoApoio.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.performer:estabelecimentoApoio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoApoio.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.performer:responsavelTecnico.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelTecnico.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.performer:responsavelResultado.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From a norma FHIR
Observation.performer:responsavelResultado.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelResultado.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From a norma FHIR
Observation.value[x]:valueCodeableConcept	required	ResultadoQualitativoExame https://fhir.saude.go.gov.br/r4/exame/ValueSet/resultado-qualitativo-exame From este IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From a norma FHIR
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From a norma FHIR
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From a norma FHIR
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From a norma FHIR
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From a norma FHIR
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From a norma FHIR
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From a norma FHIR
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
RN04-Exame	warning	Observation	Se o resultado for quantitativo, é obrigatório enviar os valores de referência (referenceRange), sejam eles estruturados ou não estruturados. O laudo deve conter os valores de referência sobre o resultado quantitativo sendo eles estruturados ou não estruturados. : (value is Quantity) implies referenceRange.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Resumo

Obrigatório: 18 elementos
Proibido: 13 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

• Informações Sobre a Solicitação do Exame (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/suspeita-diagnostica-investigada)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Amostra para Exame Laboratorial (https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/amostra)

Extensões

Esta estrutura refere-se a estas extensões:

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

Fatias

Esta estrutura define os seguintes Slices:

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

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: RN03-Exame, RN04-Exame
extension		0..0
modifierExtension		0..0
identifier		0..0
basedOn		0..*	Reference(Informações Sobre a Solicitação do Exame)	Suspeita diagnóstica investigada
partOf		0..0
category		1..1	CodeableConcept	Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code		1..1	CodeableConcept	Exame Vínculo: Exame (required)
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	C	1..1	Identifier	Logical reference, when literal reference is not known Constraints: CPFouCNS
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
focus		0..0
encounter		0..0
effective[x]		0..0
issued		1..1	instant	Data e hora do resultado
Fatias para performer		3..4	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Fatia: Não ordenado, Fechado por value:$this.id
performer:Todas as fatias				Conteúdo/regras para todas as fatias
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:estabelecimentoPrincipal		1..1	Reference(Estabelecimento de Saúde)	Estabelecimento principal
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
performer:estabelecimentoApoio		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de apoio ou referência - executor
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
performer:responsavelTecnico		1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelTecnico
extension		1..*	Extension	Extension
Fatias para extension				Conteúdo/regras para todas as fatias
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
performer:responsavelResultado		1..1	Reference(Profissional)	Responsável pelo resultado
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelResultado
extension		1..*	Extension	Extension
Fatias para extension				Conteúdo/regras para todas as fatias
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
Fatias para value[x]		1..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado do exame Fatia: Não ordenado, Aberto por type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Resultado do exame qualitativo - estruturado Vínculo: Resultado Qualitativo Exame (required)
value[x]:valueString		0..1	string	Resultado do exame qualitativo - descritivo
value[x]:valueQuantity		0..1	Quantity	Resultado do exame quantitativo
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
dataAbsentReason		0..0
interpretation		0..*	CodeableConcept	Interpretação do exame estruturado
note		0..*	Annotation	Notas sobre o resultado
bodySite		0..0
method		0..1	CodeableConcept	Método de análise
specimen	C	1..1	Reference(Amostra para Exame Laboratorial)	Amostra biológica Constraints: ReferenceContained
device		0..0
referenceRange
low		0..1	SimpleQuantity	Valor inferior
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
high		0..1	SimpleQuantity	Valor superior
system		0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
type		0..1	CodeableConcept	Significado do intervalo
appliesTo		0..*	CodeableConcept	População-alvo
age		0..1	Range	Idade-alvo
text		0..1	string	Valores de referência descritivos
hasMember		0..0
derivedFrom		0..0
component		0..0
Documentação para este formato

Terminologia Ligações (Diferencial)

Caminho	Conformidade	Conjunto de valores	URI
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame From este IG
Observation.value[x]:valueCodeableConcept	required	ResultadoQualitativoExame https://fhir.saude.go.gov.br/r4/exame/ValueSet/resultado-qualitativo-exame From este IG

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
RN04-Exame	warning	Observation	Se o resultado for quantitativo, é obrigatório enviar os valores de referência (referenceRange), sejam eles estruturados ou não estruturados. O laudo deve conter os valores de referência sobre o resultado quantitativo sendo eles estruturados ou não estruturados. : (value is Quantity) implies referenceRange.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')

Nome	Bandeiras	Card.	Tipo	Descrição e condicionalismos    Filter: Condicionantes Obrigações Vínculos
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, RN03-Exame, RN04-Exame
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
basedOn	Σ	0..*	Reference(Informações Sobre a Solicitação do Exame)	Suspeita diagnóstica investigada
status	?!Σ	1..1	code	registered | preliminary | final | amended + Vínculo: ObservationStatus (required): Codes providing the status of an observation.
category		1..1	CodeableConcept	Categoria do exame Vínculo: Subgrupos da Tabela SUS (required)
code	Σ	1..1	CodeableConcept	Exame Vínculo: Exame (required)
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
identifier	ΣC	1..1	Identifier	Logical reference, when literal reference is not known Constraints: CPFouCNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
issued	Σ	1..1	instant	Data e hora do resultado
Fatias para performer	Σ	3..4	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation Fatia: Não ordenado, Fechado por value:$this.id
performer:Todas as fatias				Conteúdo/regras para todas as fatias
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:estabelecimentoPrincipal	Σ	1..1	Reference(Estabelecimento de Saúde)	Estabelecimento principal
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoPrincipal
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:estabelecimentoApoio	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de apoio ou referência - executor
id		0..1	string	Unique id for inter-element referencing Padrão necessário: estabelecimentoApoio
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:responsavelTecnico	Σ	1..1	Reference(Profissional)	Identificação do(a) responsável técnico(a)
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelTecnico
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
performer:responsavelResultado	Σ	1..1	Reference(Profissional)	Responsável pelo resultado
id		0..1	string	Unique id for inter-element referencing Padrão necessário: responsavelResultado
Fatias para extension		1..*	Extension	Extension Fatia: Não ordenado, Aberto por value:url
extension:conselhoProfissional		1..1	(Complexo)	Conselho Profissional URL: https://fhir.saude.go.gov.br/r4/exame/StructureDefinition/conselho-profissional
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemplo General: 123456
Fatias para value[x]	ΣC	1..1		Resultado do exame Fatia: Não ordenado, Aberto por type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Resultado do exame qualitativo - estruturado Vínculo: Resultado Qualitativo Exame (required)
value[x]:valueString	ΣC	0..1	string	Resultado do exame qualitativo - descritivo
value[x]:valueQuantity	ΣC	0..1	Quantity	Resultado do exame quantitativo
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Padrão necessário: http://unitsofmeasure.org
interpretation		0..*	CodeableConcept	Interpretação do exame estruturado Vínculo: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Notas sobre o resultado
method		0..1	CodeableConcept	Método de análise Vínculo: ObservationMethods (example): Methods for simple observations.
specimen	C	1..1	Reference(Amostra para Exame Laboratorial)	Amostra biológica Constraints: ReferenceContained
Documentação para este formato

Terminologia Ligações

Caminho	Conformidade	Conjunto de valores	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From a norma FHIR
Observation.category	required	Subgrupos da Tabela SUS http://www.saude.gov.br/fhir/r4/ValueSet/BRSubgrupoTabelaSUS
Observation.code	required	Exame https://fhir.saude.go.gov.br/r4/exame/ValueSet/exame From este IG
Observation.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoPrincipal.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:estabelecimentoApoio.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelTecnico.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.performer:responsavelResultado.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From a norma FHIR
Observation.value[x]:valueCodeableConcept	required	ResultadoQualitativoExame https://fhir.saude.go.gov.br/r4/exame/ValueSet/resultado-qualitativo-exame From este IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From a norma FHIR
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From a norma FHIR
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From a norma FHIR
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From a norma FHIR

Restrições

Id	Grau	Caminho(s)	Detalhes	Requisitos
CPFouCNS	error	Observation.subject.identifier	O sistema de identificação do indivíduo deve ser ou CPF ou CNS : system = 'https://fhir.saude.go.gov.br/sid/cpf' or system = 'https://fhir.saude.go.gov.br/sid/cns'
RN03-Exame	warning	Observation	Se a terminologia utilizada para representar o exame for Tabela SUS, TUSS ou CBHPM, o elemento method deve ser fornecido. O exame realizado deve utilizar as terminologias (Tabela SUS, TUSS ou CBHPM) para representar o método analítico utilizado para determinação do resultado. : code.coding.where(system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRTabelaSUS' or system = 'http://www.saude.gov.br/fhir/r4/CodeSystem/BRCBHPMTUSS').exists() implies method.exists()
RN04-Exame	warning	Observation	Se o resultado for quantitativo, é obrigatório enviar os valores de referência (referenceRange), sejam eles estruturados ou não estruturados. O laudo deve conter os valores de referência sobre o resultado quantitativo sendo eles estruturados ou não estruturados. : (value is Quantity) implies referenceRange.exists()
ReferenceContained	error	Observation.specimen	Referência deve ser um recurso contido : reference.startsWith('#')
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()